HomeMy WebLinkAbout380 SUNRISE CIR - Building Permits(714) 754-5273 • Fax (714) 754-4866 • wvn�.ci.costa-mesa.ca.us
BUILDING PERMIT
JobAddress: 380 SUNRISECI
Suite:
Viciniry: KITCHEN
Parcel Number: 43915138
Applicant: ROBINSON, KIRSTEN
Address: 380 SUNRISE CIR
COSTA MESA, CA
Owner: ROBINSON, MORRIS W
Address 380 SUNRISE CIR
COSTA MESA, CA
Co n tra ctor: O W N E R-B U I L D E R
Adtlress:
Zip:
Arch :
Address:
Phone:
Zoning:
Phone: 949-722-1938
Zip: 92627
Phone:
Zip: 92627
Phone:
License: 000000
Eng:
Address:
i i rnin univc, i,�a i r, mwn, i.h nmm
Status: ISSUED
Applled: 02/04/2004
Issued: 02I04I2004
ISSUED BY:
Phone:
Zip: License: License:
SCOPE OF PERMIT
CHANGE-OUT OF A 46" X 46• TO A 46" X 30' SKYLIGHT AND CHANGE-OUT OF A 5' X 3'6" WINDOW TO A BAY WINDOW (SAME SIZE) IN AN
EXISTING 2-STORY SFD (NOTE: BOTH PROJECT ARE ON THE FIRST FLOOR).
SIT.E REVIEW AND APPROVAL PER CODE SECTION 106.32/EXCEPTIONS PER BDM.
NO OTHER WORK AUTHORIZED WITH THIS PERMIT.
� Plan Check: $0.00
Permit: $97.25
� SMIP Res: $0.50
SMIP Com: $0.04
Other: $0.00
Inspection: $0.00
Total: $97.75
SETBACKS
MAIN STRUCTURE Front 0. 0
ACCESSORY Front 0-0
Rear 0- 0
Rear 0- 0
FEE SUMMARY
Calc Vaivation: ga,000.00
Claim Valuation: Sa,oOo.00
PLANNING & ZONING
Le(l 0- 0 Right
Lek 0-0 Right
0- 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regula�ions. (Ord. No. 92-28, § 1, 12-21•92)
EXPIRATION: This permit shall automatically expire and become void il work Is not commenced wlthin 180 days, or if work is suspended or abandoned
for a period of 180 days. ,
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such woik must comply wlth all applicable codes, and all
required Inspeetlo�e and finel approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration ot thls permit.
FOH INSPECTIONS CALL: (774) 7545828
24a&481fl�00)
WORKERS'COMPENSAnON DECLARAnON:
I hereby eilirm under penalry oi per�ury one of the following tleUa2tions: �
❑ I heve end will maintsin e certificate of consent ro self-Insure lar workers' compensetion, es provlded tor by section 3700 at the La6or Cotle, for the pertortnanca ot Me
work tor which this Oertnit is issued.
❑ I have end wlll meiniain workers' compen5ation insurance, as required by sectlon 3700 0l the Lebor Code, lor Ne perfortnante ol Ihe work tor which this pertnl� ISlssuetl.
My workers' wmpensatlon �nsurance cartier anC polity number are:
Policy Number:
velued a! one
py � I cetlity Ihat in the pedormance ol the work for which tNs permit is Issued, I s�all not employ eny person In any manner so es to become sublect to Ihe workers'
compensatlon lews ot Callfomie, entl agrea t�at tl I ahould become suD�ect to the workars' wmpensatlon pmvisions ol Sectlon 3700 0l lhe Lebor COCe, I shell lorthwit�
comply with these pravisions.
ApplltanlSignature: +-�S � De�e: =Z.�n�-Y�ob •
WARNINO: FAILURE TO SECURE WORKERS' COMPENSATIqt COVERAGE IS UNLAWFUL M1D SW1LL SU&IECT Ml EMPLOVER TO CRI� PEWll.TIES AND GVIL FlNES UP TOONE HUNDRED
THOUSAND OOLLARE (510U,OW), IN FDOITION TO THE CQST B COMPENSl�TION, �AlMGES AS PRU�DED FOP IN SECiION 3�O60F THE IABOF CODE, INfEREST, ANO ATiORNEV'S FEES.
LICENSED CON7RACTORS DECLARATION:
I hereby oNirm ihat I am Ilcensed under provislons af Chapter B(commencing with Section 7000) ol Division 3 of Ihe Business and Prolessions Code, and my license Is in full
force entl effect. Lic. p Cless a
Contractor's Signeture: Date:
CONSTRUCTON LENDING AGENCV:
❑ I hereby aHirtn ihat Ihere is e wnslruction lending agency lar Ihe peAortnance ol Ihe work lor which I�is permit is issuotl. (Sec. 3097, Civil CoOe). ,
LendeYs Nemo: Lentlefs AAdreu: '
SigneWre: Date: �
OWNER-BUILDER DECLARATIONS:
I heroby uHlrm�ihePunder penetly of perjury that I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW for iha tollowing raeson (Sec. 7031.5, Business and Prolesslons
Cotle: Any'ciry ofcounry which requires a pertnit to construct, alter, improve, tlemolish, or repeir eny slrucWre, pnor Io its issuenco, also requlres the applicant for such pertnil
to file e signed steteinent that he or she Is Iicensed pursuant to the OroNslons at the Contraciors License Lew (Chepter 9(cammencing with SecUan 7000) ot Divislon 3 ot Ue
Bu5ine55 end Prolession9 Cade) or Ihat he or she is exempl Iheretmm end ihe be5i9 for the ellegetl exemption. Any violation oi Sectlon 7031.5 by any epplicant for B pertnit
subjects the applicant to a cMl penalty ot no1 more than tive hundred tlollars (5500).):
❑ I, as owner oi ihe properry, or my emplayaes with wages es their sole compensetion, WILL DO THE WORK, and ihe structure Is not intended or ottered far sale (Sec.
7044, Business antl Professions Code: Tha Contractors Licansa Lew does not appty to an owner oi property who builds or Improves ihereon, antl who tloes such work
himselt or hersetl or through his or her own employees, provlded ihat such improvements ere not intendetl or oMered tor sale. If, however, the builtling or Improvement Is
soltl within one year oi wmpletion, the owneo-bulder will have Ihe burden of proving that he or she did not build or improve for puryose oi sale.). �
�� I, as awner of the properry, em EXCLUSIVELY CONTRACTNG WIiH LICENSED CONTAACTORS to construct the project (Sec. 7044, Business antl Professions
Cotle: 7Te contractors License Lew tloes nm appty to en owner ol pwpeny who builtls or improves thereon, and who contracis far such project with a contractoqs)
licensa pursuant lo the Comractors License Laws.).
❑ I am exempt under sec. Business end Professions Code br this reason:
Signeture: �t � Date: -�- G O
Owner ID varified by ddvefs licens �es ❑ No Drivefs License No. _�. / Eapires: G6 ].-. �
Vedlicatlan of Ownership by (type of dacumant, i.e. - pmpeny tax bill or tleed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby cenity Ihat no excavation live (S) or more teat In depth into which e person is requiretl lo descend, will he made in connection with work auNonzeO by this
permit, and that no Duiltling siructure, scattolding, felsework, or demolition or dismantling thereof, will be more ihan Ihirry-slx (38) feet high. (Chep. 3.2, Grp 2, An 2, Sec.
341, Title e, Calitomia Atlminislrative Cotle).
❑ As owner-builtler, I will not amploy enyone to tlo wark which woultl require a permit Imm tho Divislon ol Industdal Safoty, ns notod ebove, unless such person hes e
pormit to tlo such wark tram the tlivision.
Signature: Date:
Division oi Intlusirial Sefery Permit Number.
CER7IFICATE OF COMPUANCE AND AUTHORIZATON OF EN7RY: I certity under peneiry of perlury Ihat I have read ihis epplication antl state that the infortnation given is
correct. I agree to comply wilh ell slete laws and ciry ortlinences relating to building construction, end euthodze representetives ol the Clry of Costa Mese to enter upon Ihe
ebove-OescriDed properry tor Inspection purposes. I agre`e not to occ/uDY or ellow occupancy ot eny builtling authonzed by ihis permil un'til l/inal inspection.
- �/ �1 G'Y �a'v
I/ �� — Signatm t galOwner(s), Date
FC�.�.. � (�i�-i � -Z.�GY��Y
AnNOr A horizwd Aoollt�ant D2tB
COOE �. INSPELTIONTViE
1616 Fixetl System Final Fire Preventlon
1268 Pool Spe Finel
200 Final Re-Root
201 Final Block/Retalning Wall
202 Flnel Fattory Fire Place
203
204
Flnal Sign
Final Demolition
PAIE II4�dL$
COOE� INSVECTIONTYPE
206 Final Mechenicel
20B Final Plumbing
210 Finel Electdcal
212 Finel Fire Preventlon
220 Finel Planning Approval
222 FInalSite
250 Finel BUIIAIng/Occupency
�g ��
�oonRsaeuima: CHILLCOTT, LESLIE H
ONNER6I�.WEIfpqFN: 30'� SUNRISE CIR
y°D°"E" COSTA MESA, CA 92627
646-1307
�vv�.wuuNa AooNEss:
/iNCNRECT OX ENf�NEEN:
AIICN. OP ENO.'4 /i00RE53:
PETRONELLA ROOFING
C0"�"'B10"s""'� 2626 NEWPORT
COHIH6TON9YYlPlO COSTA MESA CA
AD0"� 92627
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LENDEP'S �DOFE53:
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PERMIT NO: B
CITY OF COSTA MESA — BUILDING PERMIT
075316 PLAN CHECK NO: N
•• •
•. ._-
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
JOH DESCRIPTION : T/OFF 6 REROOF W/FIBERGLASS SHINGLES SQ FT: 1,800
CLAIM VALUE: 1,800.00 CALC—VALUE: 1,800.00 GROUP OCC: R-3 /M-1
COMMENTS: REAOOF 1600SF RESIDENCE, SMOKE DETECTORS REQUIRED PER 91UBC
*��**���*x�*�*�����*�*+�*��+�+��+�*+��r�*x*�*�*��*�*�**�**�***+�+���***�****��*******�x
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARICING REQ: PROV; PARCEL: 43915133 ZNE: REF NO:
PLANNING NOTES> .
.>
iF 1E ik iF 1E iE iflE iF iE 1k k if fE iF iE 1E �E �E 1E iE 1E 1E IE af iE iE aE �E iE iE iE iE 1E aE 9E fE iE 3E iF iE fE 1E �E 9E ik 1E 1E �E 1E IE 3E iE iF 1E iE 3E iE iE if 1E 1E iE �E iE IE �E fE 3E'iE iE if iE iE iE �E IE �f fE
D E V E'L O P M E N T S E R V I C E S R E Q U I R E M E N�T S
ZONING APPROVED,, BY DATE: '.'
.1 r
BUILDING APPROV£D BY : DATE:
APPLICATION ISSUED BY: �� DATE: �i 2� �1
ifiEififiFiEiElEiEiElEifiElEfFiFlFiEifiElkif��3FTFiF�FiFiFiF3FiF���3F7F iF3F ��if�f3F7�3F3E�F7F�E1EifiFlfififif3fiE iEif
LEGALIZATION:N� F E E S U M M A R Y STRUCTURAL� SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMZP/RES GRADING
PERMIT 41.00 .50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ZSSUE PLAN—CHECK
TOTALS----> 41.50 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
41.00
TOTAL PAID DUE
41.50 41.50 .00
41.50 OVER/SHORT: .00
FIRE SMIP/T0o GRADING PLAN—CHECK
�'x'�c�x'xx'+tx'**x'x+t'�x*x'x'x**x+ex'+c'+c'x'x'*n'x�a��'s+�xx+tx'+e*xx'*x+c'+c�c'�+�*x'a�+�itiFx***��c**ie*+�+�iert**�**�
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 1800 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1,800.00
END OF FEES
�71 D�i'.' _ _ ,'.�c._'._, �'..— . ; I
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CONSTRUCTIpN AND PLANNING , F & SPA .
�„4PPROVALS Permit# � Date Inspector pppROVAIS Permit# Date Inspector
1. Temporary Electrtcal Service or Pole 52. Pool & Equipment Location �
2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement
3. Electrical COnduit Utility�Undrgrnd. 54. Forms �
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. flough Plumbing & Pressure 7est
�
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ��
7. Footings 58. Electrical Conduit�Undrgmd.
8. Foundation � 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe�Undrgrnd. 60. Backwash Lines,P�Trap, O Undrgrnd.
10. Structural Floor SVstem � • 61. APPROVAL TO DECK .
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final �
12. Sewer Cap 63. Heater & Vent�Final
13. Roof Oreins 64. Plumbing Sys[em � Final
14. Rough Plumbing 65. Electrical-Final � �
15. Rough ElecuicabCondua 66. Solar SYstem-Finai '
i 6. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 66. APPROVED FOR PLASTERiNG
18. Rough Elect��ca6T Bar Ceiling 69. POOI/SPA SYSTEMS FINAL
/9. Rough HeaUng & Air Conditioning FIRE DEPT. REQUIREMENT �
20. Rough Factory Fireplace . . APPROVA�S Permit �
27. Ducts, in�Stslcture� 70. Underground Hvdro
22. Ducis, VentUating .. 71. Product Piping O Gas O Oi1
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing l��Z,q'..L��� 74. Overhead Hydro
26. T�Bar Ceiling (Structurat) & Monocoat 75. Dry Chemical
27. Frame and Flash'rng - 76. Dry Standpipe
28. Lathing & Siding .: 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAI
30. Drywall Nailing � � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat - � 79. FINAL INSPECTION
32. Electrical Powe� MeterFinal ' 80. FOO� CERTIFICATE ISSUED
33. Final Electric � Notes:
34. Fina� Heating & Air Conditioning �
35. Final Gas PiPe�Test
36. Hood or Canopy _
37. Final FactorY F��eP�ace � �
38. Final Plumb�n9 � . ,
39. Water Servite-Final
40. Gas Service-Final
41. Solar pomeStic•Final . . .
42. Backflow Preventer _
43. Backflow Ir�i9ation
- 44. Landscape 1«iqation System _ �
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING �_/a�� 6�W`(.
(
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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/�OOPESS OF BNLOPJO: ,3 Q � 5 UPJR I S E C I VNT:
o,�*+ERsrw�Ei�aam+: ROSINSON, MORRIS W
�oonEss: SVERDRUP—ROBINSON,
/,1 Y.IRSTEP7
i80 SUNRISE CIR COSTA MESA,CA 9262
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J1CN.OR ENG'S AODRESS:
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I ca+mecrarsruxe: SKYLZGHT SPECIALTIES ( 719 ) 6�15-8695
CONfRACT0A5M111W0 3 1 6 0 I NCL I NADO
/i00pESS SAN CLEMENTE CA uc.ra.: 395551
92672 uxT:
IJCEN5E0 COMP4CTOfl3 DECLAR�TION: I Mroby ellim uMe� prety d pe�ury Ilel I am Icmrotl under pewiaona d Chaqx 9
�ommamip wnh Seclbn ]000) d Onuun ] d Na Bud�e eM PNmabm Coda. end mY ��� b in IW brts end eMep.
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NEN BUILDEP DECUN�TION: 1 hereby tlfi�m un6'x W�e�Y d perjiry IMI iemq /mm �M CoNreclm Littms lar �a tM
Idbwn9 imron (Sedion )0�1.5 &nir�a eM PrdeaaiMs Cods: My e�Y a owvuY xfiid� eM���e e O�u to omebu�t. Mer.'unpraw.
Eemdsh, a repai aery et�uetwe, pia lo ea eav�ea, dW reVui� ihe epplixnl la arJi pam! to Rb e dpiwG �tebinah tlW M a�he
e IioenseE p��aeni io the pa'niona d Ns Conireqws �e lew �Ghaqm B(��M �� �� �) a�b^ � d Ihs
Buainea vd Prdenions CoEe� a �Mt he a ehe u memp therMmm eM tM beae la tlr eAeped axemqion. My volmin d Seeion
"q1.5 Ey enY aDVliceM Iw a permu e�Apue �te apdKe^� b e dvil pendry d nol maa Ihen INs huMraE Adlen �SSOOn.
I. as ow�er M I�e properlY a mY �WW� �h we9ss e+lhei sde mmpameiion. will Ao Ne wak. eM tM NrucM1�ro e M inleMed
w Merad br eeb (Seciion )OM. Buvmp aM PrdMaona Lode: TM Gontredas Licanse lew doee rol MV�Yloan ownerM pWeM
who buids ar mpoves Ihemon. end v.ho doea auM ��� a hene� or Nraqh hc n Mr oMn ampb�em. pmvkeE �Mt wch
imqovemeMa ve nal in�eMeE a aHered lar eeb. M. M1�e.m. iM buitlinp a inqawnem u wid wnhin aw Y� d oomplelnn. the
o.m«a„ud.. nn�maw�aww�ron,«mbad�awud«�mo�..ro.mew�ma•a.w�.
❑ �. m amer a ine ww�r. em ud�+N mmrmno wN, licenaee coweciu. m m,mw ine o� (seau� �au. ew'uwe ena
PMaaeore coEe: The Cauraqas licws lew d� na ePON m en owew d pue�Y v.M build� a i�a'u ihraan enA wfa
wnvacta lor wcA qopea wdh e mMrepor(o) lcsroed W�suvq to Ila CaMrtla� Liawa lew).
� I em eramp uMer Sxibn: B. 8 P.C., la i�u reewn:
Dale: �^T�^��
i eo n.�nr �v um i.m..,a,e d.�d �.w«.i,oa we �a+�«w a c.uo� �en.oe s.iw coe. sw:M. uws. us»..�e
2553a. eed Mm I m enY Mun ddk'v+0 omryuu will / wP na (uaele aw) �wed to wmdY win aN em. codss and �Ir nV�a^aw br
eP�elammtrucYanamodi(�ionham�MAi w��y a�psn�ni0ipntl.RsdEauWmM�utlbneOV�iauane�emqlnmiMas
po.isian.
oma: �wrvm:
ONKEN'S COYPplSATION DKLAN�TION: I MraW elfi�m wdar pxuAy d peejury an d iM Idbwirq dederazbro:
�] 1 heve ard W muMan. canfr�. d mnenl lo eM:newe br waken' camD�+m�. n VwNod t« M 3eaion �10o d iM leba
COM. la IM pMmwce d tln wpk la wlic� iM1p V� e m�.
i nero.�,e.0 m.u,�ei,.�onw.� a�c�� �++w.�..+m�ea M s.an, aroo a m. �m« coa.. br me o«ia.�w�w a �n.
work iv wM1iN Nv V�� u iaueE. MY waYen' oMiOe�un inuvenca ra�ir ud D�Y mimEx ero:
STATE FUNU EXPIRES
a �na S�t+3t�i — 04/OS/96
�rni: seaon ne.e rw�� ae c�Weree r rns o�+� ro. me nu�ema edre�e Rrrol w ws,.�
1 I cMiy Ihet in �Ip perlamarce d Ihe work la vMch Ihb permd'ro iw E. I Mell nol empby ury parson n ury manmr m n to
. bemme wbjw :o t!a wkera' m�Weruqian bM* a �a4�omie �rae Net tl 1�MdE��b rEpa lo iM waFsn'
�pe elian V wisi d Sedian 9100 d �M lebar Loda. I�h Ia R an W x' roN.m..
o . wN�v:
WaMnp: FaBun ro ucun wortai mnipnutlon cO�M h un rrtl Ntll �/�cf �n rrplay�r to a1mlrW p�nWu nW
GHl llnsa'q ro om MndIM Mouurd EWNn (J�GA�/, M b N� cwt of rompmufbr� A�m�y u prvvWW b� In
Ssctlm J]OS ol IM I.eEor Cotiv, lirteru( �M efromlY'� /su.
CONSTIIUCIION LENdNO R6ENCY: I haeby elfim� �� Oe��Y d perjury Ihet Ihae u e mnq�utlion Mrdi�p epency br IM
peA«me� d tAe wak br xl�idi �ho W�i u eaueE l5oqian 309]. CH. C�.�
LENOEH'S NAYE:
�plOER'S AUDPE55:
I cen�N that I hew raeE Na WP� �� end pete ilut the eEave "udamvian is corteC. I e0ne io oomON xil� aG mY eM ooun�Y ad'menoes
uM eta�e lawe eeW �N m budC,q wna.'n�mon W Meeby eNhwea mpaearuetivea W ihu M' �o antw uV� tM abo.a�meni'wwd pW„Y
�«��P�°�� ICY. SCHAE�ER
/� � Pnm Nerro ��—��
�1 Date:
15t51JbWP) WM1de-BuiNiqBSdW:OieerrFb:Cenuy-ADP��t:Pink-pmenw:OdEen�o��veevor
CITY OF COSTA MESA — BUILDING PERMIT
PERAIIT NO; b 072118 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
PERM A70: B 072118
GO��T: N SUPP: N
PURPOSE: OTH
JOb DESCRIPTIOr] ; INSTALL 1 SKYLIGAT 46X46 IC90# 2469 SQ FT: 495
CLAIM ��ALUE: 495.OQ CALC—��ALUE: 495.00 GROUP OCC: R-3 /
COMMENTS; NO THER WORK AUTHORIZED BY THIS PERMIT
if iE �f ii 1E�lf iF iR 1E iF iF'lf iF 1F iF 1f�if Kif if iE if ifjf iR'N'1E 1F'N�if if'7F if if iE'1F 1R if ii 1FjM1Y-if iF i4 1f if i4 If -0! �FiFiF 1t iF iF 1f 1R if iF 1f af-iR iG i4iE �Fif df Afil�i if if�iF if iR i4 JF
Z O N I N G R E�,i U I R E M E N T S
S E T B A C K S
------------ MAIP1 9UILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT; FT IN REAR; FT Ir7
LEFT: FT IP7 RGHT: FT IN LEFT; FT IT7 RGHT; FT IP7
PARY.ING REQ; PROV; PARCEL: 43915138 ZNE; REF NO:
PLANNING NOTES> -
i
iF if if'1�-af Y if if iF iR �)f iF #F if iF �f �1F iF if 1f if 1F K iL dF aF iF iF iR �lf iF i4 iE �%IR if if ii iF 1f iA JF iG % iF iF iF �iF tE if {F rt iF 1F %i4 Y- if if %iF iF IE iF iF % a!- if �4 iF iR iF iR �4 iF iF iF iR i4
D E t� E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
20NING AFPROVED BY DATE;
BUILDING APPROVED BY : '��� DATE;
APPLICATION ISSCIED BY; /Vfyy�� DATE; T/ 1 S
i�'df'7EN'lfififlfiF')fifii"M"M")fif'�f�fiFlfififTEiEiftE������IF'j� �Y��7i-KiFitiF�('ifif'rtifafYMiE �Kifif'IE1fiF4iR{f'I�iFJf hififiE i�'Yif'IRM1('
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMEAIT:Y
HLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMZP/RES GRADIMG
PERMIT 15.00 ,50
PLAN SMIP/NON—RES
ISSUE FEE
BUILDING—DZV—> PERMIT ISSUE PLAN—CHECH TOTAL PAID DUE
TOTALS----> 15.50 0,00 0.00 15,50 i5.5Q ,00
REVENIIE DIVISION TOTALS--> CULLECTED; SS,SQ OVER/SHORT; 00
BLDG PMT PLUMBIAIG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECFC
15,00 _ .50
'If if f(' if �I"1� if V'tf'If if 1F if'k?e if'M Y 1f 1f f(' if M jf if Y if"1F'lf M' 4')%�F � if %')f Y' 4")F i4 M if iF 14')f if !f Y�f-'�+F 11� tF if"lf i�'it Y�'k �(' if if �f-i Y k i(' 1f �F �f'I(� M�1f L 1F iF i�' if
I N D I C' I D O A L F E E B P. E A K D O Tr1 N
TYPE
SFR
QTY D E S C R I P T I O N UNIT COST TOTAL COST
495 ALTER bY VALUE RESIDENTZAL NOZONE 1.00 495.00
END OF FEES
U1 CtD?u"2Q18—�0772629 T Cve li,5p
DATE: 0'a/02/9i TIME: 14:'?3
�:ONSTRUCTION AND PLn..AING1
APPROVAI.S Permit #
1. Temporary Electrical 5ervice oi� Role
- '>�
2. Soii Pipe-Undrgrnd.
3. Electrical Conduit Utility�Undrgrnd.
_.1
4. Electrical C,OnduibUndrgmd. �
5. Steel Reinforcement
6. Electricai UFER G.�d. "
7. Footings
8. Foundation
9. Water Pipe-Undrgrnd. ��
70. Structural Floor SYstem '/,j0
11. Property Sewer Line & Hou;e , neection
i
12. Sewer Cap ' '
�
13. Roof Orains �i
14. Rough Plumbing
15. Rou9h Electrical-Conduic
16. Rou9h Electric Wiring
17. Rough Wiring Sign
18. Rough EleCtricai�T Bar Ceiling
19. Rough Heating & Air Condhioning
20. Rough Factory Fireplace
21. Ducts, in Structure �
22. Dutts, Ven1ilating
23. Gas Pipe-Rough & Test
24. Roof Fram�ng �
25. Roof Sheathing
26. T-Bar Ceiling (Struct�rall & Monocoat
27. Frame and Ftashing C
28. Lathing & Siding �
29. Insulation
30. Drywall Nailing
31. Plaster Brown Coat
32. Electrical Power Meter-Final
33. Finai Elect�ic
34. Final Heating & Air Conditioning
35. Final Gas Pipe Test _
36. Hood or Canopy
37. Final FactorY Fireplace
38. Final Plumbing
39. Water Service�Finai
40. Gas Service-Final
41. Solar pomestic-Final
42. Backfiow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Re9ulations
47. FINAL STRUCTURE & BUILDING '
48. FINAL PLANNING
49. E�ectric Release to Edison
50. Gaz Release to Southern California Gas C
51. CERTIFICATE OF OCCUPANCY
N0. Date
Date � Inspector
��
-.,-- _ -
VOO L & :
APPROVALS Permit �F
.' .-•
52. Pooi & Equipment LocatiorS,
53. Sceel Reinforcement �•••
54. Forms `
55. Electriwi Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER-GUNITE
56. Electrical Conduit-Undrgmd.
59. Gas Pipe, O UncJrgrnd., Test �
i
60. Backwash Lines, P-Trap, 17�L1nc�ri rnd.
61. APPROVAL TQ DECK�- : -/.'
62. Backwash & Receptor�Fiiial�
63. Heater & Vent�Finai ,'
64. Plumbin9 System � Finai I
65. Electricai-final
66. Solar SYstem�Final
67. Fencing & Access Approval
68. APPROVED FOR PIASTERING
69. POOUSPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Pefmit #
70. Underground Hydro
71. Product Pipin� O Gas ❑ Oil
72. Under9round Flush
73. Undergrnd. Storage Tank O Gas ❑ Oil
74. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTEM FINAL
76. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMEN7
79. FINAL INSPECTION
80. FOOD CERTIFICATE ISSUED
Notes:
Date Inspectof
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' �� � BU[L�D1 S,q�rETY
�'�(� �/' � cosra r,nESA�
� APPi20 VED
This set oi pl;„ ;nd s �—��Date�—_
and it is unlavdW rc make any changeMos Itera{ � on
Pe�miss;on ho7, !hp pivision ot Buildin P �is job a� �(I timgg
g and Safet , �me "^�hout W��
ihe stamping oP this lan y ��N ol Costa Mesy.
°� to be an apprcval o� �h antl specifications SHq{� NOT p� �b
Mesa Ord�� e violation ot any provisions o( an ro P8rt1IR
ance and/ar Stale law,
rF,esec::�:sead P YciryorCosia
the bu{Idmg p� µp� �m�o hcom e'n d and1tma ntainetl acfive
(d)within78 �omenullaodvoidff I
0 days ol issuance. per UBC §3pg
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3160 tnclinado • San Clemente • CA 92673 •(714) 361-9233 • C714) 645-8645 • Lia� 8395551
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COSTA MESA BUILDING-SAFETV DEPARTMENT
P.0.90X1200 COSTAMESA,CALIFORNIA92626
�- � For Applicant to Fill in Completely
BUILDING Q
AD�FiE55 (/O 'Q,.
OWNER TiM.f9lF
AD RESS �� 9 �'l
CITV
eFANCH
ADDRESS
CONTPACTOR
ADOFESS
CITY
STATE �
LIC. NO. �
SIZE
OF �OT
USE OF
EXISTING BIOG.
SIZE OF
TEL.
���- ��`:�:or. 3z� �::::�:��.5c
APPLICATION FOR BUILDING PERMIT
:EIVED BV DATE REC IVED pATE I�
f'y� �S .; /-7S
A.P. NO. I I�'I ��Q I� I/` ! O
BUILDING
ADDRESS ��R� S[JA7P
VALUE
�c
TEL. ZO NO.OF USE OF NEW
NO. P�� BUILDING
GITY YAROSAPPROVED YAROSAPPROVED
LIC. NO. MAIN BUILDING ACCESSORV 8UIL011
NO.OF BLDGS. (FROM C/L ST ET)
NOW ON LOT ONT fT.
FT
NO. OF
ROOMS $TORIES L SIDE FT.
ROOF
COVEAWG RHAR FT. Q F
RK TO BE PERFORMED D�STANCE BET. BET. MAIN &
MAIN BLDGS. ACCFSS. BLDGS.
s AA .. VAR.qW R4TE
I haraby ecknowletlBa Net I heve reetl thff application antl smte
that tha obove Intormation Is correet antl ap�ee to eomply wit�
ell laws rep�leting buildin8 construcNon, antl I shall not employ
ony person in violallon of H+e workman's compensetion lawf of
Ma State ot Celifomia. j
I horobV car[Ity that I am proDarly Ilcensetl es e contrecror untlor � SQ. F
tha Smte o( Celitom(a Businesf antl Professioro Cotle, Dlviaicn 3, THE AMOVNT
Chapmr 9, antl thet suc� licenms ere In fvll forca en atfact, or I THE PURP06E C
am exampt tram a provisb�s uf the Steta of Gel rnia Bualnecs
end Profasslons ode Divi�lon 3, C prer VALUATION
slv�otura ot A�/ -� — `
Permltme g ��' �%(�
�
�
0
IS FOR ^
ONLV: Q
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0
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to iill in Completety
/�' REC£IVED BY DATE RECEIV£D DATE ISSUED
BUILDING 3 v � //! �
ADDRESS
� // � PERMITNO.
OWNER ��J A.P. NO.
MAIL BViLDING �JU �! � /%/
A�ORESS ADDRESS �" L�
TEL. TRACT LOT BLOCK
CITV NO.
CANSTRUCTION
LENOEF
BRANCH t"../ //J�w /
OWNER L� yv� ���
ADDRESS VALVE
ARCHITECT TEI. 5 $
OR ENGINEER
FIRE
ADDRESS ZONE TYPE GROUP
APPROVED
CONTRACTOR BV DATE
ADDRE55
TEL. ZONE NO.OF USE OF NEW
CITV NO.
PLAfS BUIIAING
STATE CITV YARDSAPPROVEO VAFDSAPPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BVILDING
SIZE NO.OFBLDGS (fROMGLSTqEET)
OF LOT NOW ON LOT qONT FT. FT.
USE OF
ExISTING BLDG. F
512E OF NO. OF
NEWBLOG. ROOMS STORIES L.SIDE FT. F?.
EXTERIOP WAIL ROOF
COVERING COVERING REAR FT. FT.
USE OF BVILDING AND WORK TO BE PEfiFORMED DISfANCE BET. BEY. MAIN &
MAIN BLDGS. ACCFSS. BLDGS.
VAfi. aD+ DATE
C.U.G,3W APPROVED
APPROVE�
I heraby acknowletlpe [ha[ I heve reotl t�is EpPlite[iOn anG rtete
2hat the above Intormation is corraet entl epree to comply with
all lews repule[Inp buildinp conrt�ucNon, and I sha�l not employ
any perso� in violatio� of the workmon's compenfation lawf of
tfia Stete of CelNornie.
I haraby certify [hat I am properly Iicensetl es e eontrector untlar S�. FT.
tha Staro of Celifornla Bufineas entl Prolavlona Cotla, Divlsicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOfl
Cheptar 9, entl thet iuch Iicanea� ere In full force entl ef}ect, or 1 THE GURPO6E OF ESTABLISHING A PERMR FEE ONLV:
em exempt lrom the provlsione of the S[ete of Callfornla Buelnacs VAlUAT10N
antl Professlona Cotla, Dlvision 3, Cheptor 9. /`iJ ,3 /
PERMR FEE 5
Slpnotura of
Permlttea $ �— PLAN CHECK $ �—r
AUMor4natl A90nt 9 'J
TOTAL FEE $ / �%