HomeMy WebLinkAbout3104 TAFT WAY - Building PermitsenonFssarew�ara: 3 1 0 4 TAFT WY ' uxr:
qVNEHSN�WEIFpqWN: MC AENRY, JEFF R FLOOD: X 47
�ooness MC HENRY, SHARON O
3104 TAFT WY
COSTA MESA,CA 926"l6
APPl..YAIIlNGA00HE55: SAME
�xcxrtecT on �ax�n: uc. xo.:
MCK OR ENG'S �DUPE55: UN7:
coNmncroxsx�we: GREATER PACIFIC ROOFING ( 719 ) 836-1966
CON7PACTORS NYIlNO 1016 E. F I R S T S T
�uoxEss: SANTA ANA CA uc.xo.: 621368
92701 u�:
�CENSE� CONTN�CTOFS UECLANATION: I Mreby eflim uMx penNy d perjury thel I em lironaed uMer pwitlona d Chaqx 9
(mmmenarq xi�h Seciion J000) d Dimion 3 d �he Busirieu ard Proleaviona Catla, uM my lioenae ia in lull larce e�d ellae.
cmuc.no.: 056 SB uc.cuss: C-39 uc.No 62136 EXP: 02/96
Dem: Comreao.
OW NEfl BUILUEP UECL�PRTION: I hereby elfiim under peneYy d peryury Ihel I em ewnq fmm Ihe CoMredan li w la �M
Idlowiq reason I�bn 10.t1.5 Buaibss eM Proleubru Cotle: Am/ ciY a�nry xiikh requiroe e parmil Io mintrun er. imprws.
damd'eh, a repv eny atrvnun, pbr to da uauarce, dao raQuiree �ha epplimnt la such pertnX lo fib e ag�d slelament Ihet M or aM
ia licenSeE pumuen� �a Ihe provivons d Na Ganlreqon Licensa Lew �Cheqet 9(mmme�tp Milh Setlion )000) d DHebn � d �he
Busineae vd FMwona COEe� or IIW he or ehe ia axemq thaehom eM Ihe bdn la I�e elbpeE exempion. My videlion al Setlion
J031.5 by airy epplirsnl lor e parmn subpUs �he epplicanl lo a civil penelry d m� moro thenlwa huMrad dollare �$500�).
� I, es owner ol iha prapenY w my empbyeae wRh weges ee Iheir ade companeaiion, vnll do �M vroM, eM �he ai�ucwro u ml inlended
or a%ered fa sela (Saclbn'lOa4. Buaineca end Prdeasions Code: Tha Gonlraclon License lew tloee rwl eppyto en awnx W propeily
who Wilea or imvrovee �hereon, end Ww doee eucM1 xwk Nmmn w MneX a thmuph �e a her own ampbyeea, provked ihm euch
impiwamame va rat imeMed or dleraE lor eele. H, Mwever, �he WiMinp a vnpwemenl is eok wilhin me yeer d comDle�ion, the
owiror-builtler xill heve IM burdan d poviip M or eM d'd iwl Wi1E a imqova Iw iM purpoea d Wa�.
� I. u oxner d tM popeily. em ezduaivey mnireeiq xi�h licenaad wnvecbn lo owWn�p the prqetl (SeCion ]Oa'. &pir�ms eM
Prdessbm COCe�. TM Conlratlon Licarue lew doea na epply w en owner of popa�y wM10 buitls a imqo.•ea Ihmeon eM w}w
<onVecv tw urh pmjeda wnh a mnlredw�e) licensad punuen� to IM Conlreaon Liceme lew).
� I em eeamp� uMer Seclion: B. 8 P.C., for I�ia reeaon:
De1e: Owner:
I do hereEy eeniM �� �� eware d eM uMentenE IM reQuiremanM d Celioma Fbehh eM Sefety Code Seaions 25505, 25533, eed
2553a. eM the� I w eny Mure WiMiiq om�peni will / wil ria (arck ais) rieed b compFy wih uid etele codes eM �M roQuinmenle M
epartnAfamenvud'anamodifrmianhamlMRi ue�iy -anepemeniDMAd.RukemielmnseuaioneppirmiaueneMemqlromtMae
a��,..
oma� nnd�,�:
W OFKEH'S COMVENSATION DECLANATION: I Mraby elfirtn uMer panel�y d pajury oro M the lollowieq Eetleratune:
� I heve enE wil meinien e cerlHicate d ranaeni �o eeMJnvure lor waken comparaelion, ec povided la by Sedion �]00 d IM Lebor
COEe. iv Ihe perlormence W tlre xwk la which ihie pertnn is iauad.
❑ i nero e�e m� �me:,,wMers oo�o�a, ma�re�... �a�v�e M s«rim a�ao w�ne �en« coee.'« me wno.menm a ine
wM fa xfiirh �M1ia permn n iavueE. MY wake�a compensation imurenca'amar end pdiry numEar ere:
c�a: STATE FUND EXPIRES
Polcy Number. O 1/ 01 / 9 6
(Ihis sectiar nead na be rompbree AtM perme is ror one hunEred EWlers (Sfo�) w las+.)
❑ I cerlAy ihe� in ihe pMoimarice W �M woA br whch ihis permit ie ieeued, I ehell irol employ airy penon in e�ry menner eo u �o
bewma wbl� �a �� �ara' companation lexa of CeIA«nie, aM epree �hel X I aho k become wbjed �o iM vrorkers
rnm ens ion provi one M Seaion a�ao dine LeborCOEe,I Mdl enhwnh mmpN wnhiy� proNsbre. �,.
i �'�^��6 '
` Dde: A J O L '
/ Waminp: Fellun ro��c�n workw�' eomperustlon eovereps la �n/ewlu( siM Nsll H.d/xt en mrp/oysr fo erlM ne/Uu erM �
c/vll flr�s� yr ro one hundred fhouuiM Ooller� (Sf00,000), In atltlltlan ro M� roat ol compslwflon, damepu ��Mo.�e.a ro. m
Sxflon 9)O6 0/ tl,s LWor Cotls, InM1roaq anC ettorneyllsu.
CONSTNUCTION LENDINO �GENCY: I hereby elfirm under peneXy ol perjury Ihe� Ihere n e ronetiudion bMinp epenq Iw iM
perlortnence al lhe xork for which Ihe permi ie oaued �SeGon 309). CH. C�.
LENDEH'S NAME:
LENOEP'S ADDNE55:
i�anM �nm i nave �eea me ww�+�, e�a n�. mm ine mwe m��� c��oc. i ro� �a �,dr wnn mi ar �a camy o�a��,ences
enA stele lexs rele�inp to buikiip eanatruaan eM hareby eWariza repeeaeniatives ol lhu dly lo emx upon the ebova�menlianed propeny
�o�msa +���o�rpo�s. KATIF CROWLEY
De�e: V � I
ai5ua wP� Wnn..A�dLfinn A Sxlam� Greao-Fle: Canarv-Aoof.ranC Rnk-Revenue� OnlMnmd-Axaemr
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: H 074007 PLAN CHECK NO: N
PERM NO: B 0740Ui
GOL'T: N SUPP; N
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURC'OSE: OTH
JOB DESCRIPTION : T/OFF 6 REROOF W/CLASS A FIBERGLASS SFIIN SQ FT: 5,760
CLAIM VALUE; 5,760.00 CALC-VALUE: 5,760.00 GROUP OCC: R-3 /M-1
COMMENTS: SMOKE UETECTORS RE�QUIRED PER 91UBC, REROOF 2600SF ENCE
iE1E1EiElEiElEiflE�fiEiE3ElfifiEfflEiEfEfEifiElEiEiE1EiE !ElE1E1fiklFiEfEiE�EiF3ElEIE�EiEklEiEfEfF9EfE3EjE9ElEiE3E1E1E lEjE
Z O N I N G R E Q U I R E M E N T 5 ���� �.��a,
S E T B A C K S F"�
------------ MAIN BUILDING ---------- --------- ACCESSORY"�U-IL�����-
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IIV RGHT: FT IN
PARKING REQ: - PROV: PARCEL: 14169319 2NE: REF NO:
PLANNING NOTES>
�
aE jE 9f �IE IE iE -0E'1E')F �f-1E fE �E df' 1E # iE iF iE 1E iE iE �lE iE 1f !E iE 1Elf dE if �lE iE iF iE 1ElE �IE IE iE iE 1E 1E �E')E'IE iE �lE IE fE if-iE iE 1E iE iE iE 1E iE iE if 1E if iE'k BElf'1E �1(-1F 1E ik iElf �E iE iE iE IE
D E V E,L O P M E N T S E R V I C E S R E Q U I R E M E N.T S
ZONING APPROVED HY DATE: �
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: � DATE: �!:3 0�'�
iE1FiE1E1E3faEiEififlEiFiE�7EiEifiEiflFiEiEiE�E3F . -�'S�IF�F�EiE�EiE'%ififiE*if 1f1f
LEGALIZATION:N F E E S U M M A R Y STRUCTORAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMZT 81.00 .58
SMIP/NON-RES
PLAN
ISSUE FEE
BUILDING-DIV-> PERMIT ISSUE PLAN-CAECK
TOTALS----> 81.58 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
8�.�0
TOTAL ' PAID DUE
81.58 81.58 .00
81.58 OVER/SHORT: .00
FIRE SMIP/TO.T GRADING PLAN—CHECK
.S8
iE 1E �k 3E if !E jE if 1E iE iE!! 3Elf iE iElE k if if jE if 1E iE iE iE 1E 1E iE 1E 3ElE iE 1E iE iE iFlE if 3F iF iF if iE iF 1Elk iE iE fE iElE k �E 1E �E iE if iE �ElE �E 1E if !f dE if jE fE fE jF iE iElE:E 3E 1E jE iE
I N D I V I D U A L F E E B R E A K D.0 W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 5760 REROOF HY VALUE RESIDENTIAL NOZONE %�1.00 5,76U.00
END OF FEES
�?i QD;o^?,i57-^u0±393.`.<8 �6_�T 31.58
DATE: Od137!9S iFi7E: 14:�5
� - � ,i
,�
CONSTRUGTION AND PLANNING POOL & SPA �
APPROVAI.S Permit # Date Inspector APPROVAtS Permit # Date Inspector
1. Temporary Electricai Service or pole 52. Pool & Equipment Location
2. Soil Pipe�Undrgmd. .. 53. Steel Reinfarcement '
3. Electrical Conduit�Ut�lity-Undrgrnd. 54. Forms �
4. Electrical Conduit-Undrgmd. 55. Electricai Sondiny ,
5. Stee! Re�nforcement � 56. Rough Plumbing & Pressure Test
6. Electrica� UFER Gmd. 57. APPROVAL TO COVER�GUNITE
7. footinqs 58. Electrical ConduibUndrgrnd.
8. Foundation ' . 59. Gas Pipe, O Undrgrnd., Test' �
9. Water Pipe-Undrgrnd. 60. 8ackwash �ines, P•Trap, t`-',, Undrqrnd.
10. Structural Floor SYstem 67. APPRQVAL TO DECK
11. Property Sswer Line & House Connection 62. Backwast� & Receptor�Finai �
72. Sewer Cap � �63. Heater & Ven[-Final �
13. Roof Drains • 64. Plumbing System � Finai �
74. Rough Plumbing � 65. Electrical-Finai .
15. Rough Electrical-Conduit 66. Solar SYstem-Final �
16. Rough Eledric Wiring ��- � 67. Fencing & Access ApProval '
17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING
18. Rough Electriral�T Bar Ceiling � 69. POOUSPA SYSTEMS FlNAI
19. Rough Heating & Air Conditioning _, FIRE DEPT.REQUIREMENT
20. Rough Factory Firepiace . - APPROVALS' � Permit #
21. Ducts� in Struciure" 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping QGas '��',Oii
23. Gas Pipe�Rough & Test ' ' 72. Underground Flush
24. Roof Framing' - -. 73. Under9md.StorageTank �Gas ❑Oil
25. Roof Sheathing � y S g' �pL�/�_7q; Overhead Hydro
26. T-Bar Ceilin9 (Strucmral) & Monowat . - 75. Dry Chemical
27. frame and Flashing � � 76. Dry Standpipe .
28. Lathing & 5iding ' 77. FIXED SYSTEM FINAL
29. Insulation - � . - 7$, FIRE PREV. FINAL
30. Drywail Na���ng . HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Elec,ricai Power MecerFlnal ' 80. FOOD CERT�FICA7E iSSUED
33. Final Electt�c � , � � ' Notes: '
34. Final Heating & Air Conditioning
35. Fina! Gas Pipe�Test �. .. �
36. Hood or Canopy , '^.� _
� 37. Finai Factory Fireplace " �
38. Final Piumb�ng .
39. Water Service•Final � �-
40. Gas Service-Finai
At. Solar �omestic-Finai � �
42. Backflow Preventer � � /_g�� ���� �
/ �43. Batkflow Irrigation
44. landscape Irrigatian System . � _
45. Sound Attenuation
46. Handicap Regulations �,,,. � �
,
47. FINAL STRUCTURE-& 8Ul1DING GI! 7 y� �(�j(�-
�
48. fINALPLANNING ,-� --+ �
49. Electric Release to Edlson `- ' ,
50. Gas Release to Southem Califomia Gas Co �� ,
51. CERTIFICATEOFOCCUPANCY �
No Date
�� �oonrssa eutaxo: 3 1 0 4 TAFT WY uxt:
OWNEASNAYEIiqIMIN: MC HENRY, JEFF R.� � FLOOD: X 47
, moxcss: MC HENRY, SHARON O
3104 TAFT WY
?OSTA MESA,CA 92626751-6806
�vr�.wuuxo �ooxEss:
urcxrtccTon�r+�nn: HI—LO CONSTRUCTION CO, uGra= 00000
xcx ow eaa•s �ooxcss: 9 2$ N. HAR WOOD uar:
ORANGE CA 92667
canm�erarswu� HI—LO CONTRACTORS, INC. (714)744-5343
CONfqACTOR4YY1II16 9 2 8 N, AARWOOD
�ooxess:ORANGE CA ucxo.: 201162
92667 uxr:
LICENSED COMflACTOF9 DECIAP>TION: 1 M1areEy elfirm untler pene�y M Po�ury IMt I em Ikaneetl urker ywlslone M CMpUr e
(mmmandnp wilg sss���ryryryion z000) ol Dimon J ot the Buair�eae eM PMaesiona Cotls, eM my licenw ia ln full b�ce vM eH ��
c aio.:IUJI'y uacuss: g :.uc.No.• 201 62 EXP:�'(
�^i ¢i ��.� `�
na: • � \ J conVaqaf�
N BUILDEP DECLANATION: I haab/ elfirm under perely d perWry Ihtl �emq han iM Comretlat Uama lew fa IM
� �� (5aqion )W 1.5 Bwiaa� erd Rdesabn Cotle: My GY a wun idi nVuim e Deemu to mrovuq. Mx. imVwa.
' Mmd'eh, p rapv eny Hr�cWn, p'v b tla eaenca. e6o reQWrc� IM epplirsnl 1 pemN lo fib e aqned MlemaN Ihet M a�M
u �icen..a w�+."� m iM a� a u» coNrm«. umiiae lev (ehea« e(oanm.ntieq w'nn seeion )000l w w.eion a a �hs
Buai�roee vd Prdeaonv Gode� a tAet M a ehe u azemq Iherehom eM IM Eeeb lar ihe ellepeE memqion. My videlon d Setlun
]0]1.5 by enY WNK^^t lar e Po�G � �M appliram �o e eivil perelry W M man ihen IWe huMeM dd4n �SS0011.
� I, u owmr d �he popeiry ar my empiqeee v.Vh wapee n iMi wb compenWion, will Eo IM v.oA, aM Ne el�uctun e �wl'uNaMeE
a Marsd M eeb I��� )�. Buvria�e eM PmteaebnaCods: TM Conirmws Limnee lewdoea mt applyto en ownerd pope�ry
who WiM « inpovaf IMreon. vd r.M Eoea a�eh woek F'meeM w hxsa� a INaup� he a Mr own emqv/es�. pwke0lMt we�
impwanaus ere nd'uneMM a oXeied 1« aeb. tl; howwm, tM buitliry> inqv.amsm is votl wnNn aw yeer d complNion, tM
o.,wa�ua« �n n..�e me nw«� a ww��ro n. «� a+d m wua «�mwa+ i« m. wmo» a.�).
❑ �. a. c.,.r w ins o�w«ry..m..bmiMr mu,ae:ia wnn rKan..e conireciu. �o oonmw Uie wdea (seeun 1aa�. a�.u,�..iw
Prolamau COAe: TM Ca4raCae Licmw law dme nol ePWY w en owrw d VW�Y xfio bu5h rc uMa'u iMrean vd Wn
mnVula la vd� peapaa r.ilh e mMreCor(s) Icen9ad punuent �o iM CoMretlon lieenae lewl.
� I em examq uMer SeNbn: . j B. d P.C.: bi IMa reeaon:
, Y
Dete: O.mer
i eo namW ceniN inei i em e.�a d e�w u�wersiena me requ�remenu a ceiaomie Heenn ene saro�y coda seaiona zsws. usaa. e�w
zssu. eoa ine� i o, �r �mure nunema «��v�� mn i.�n �m (o�.cb o�el ��d m �omoir.en �a na�a �da..�e in� rea��,emam. ro,
e parmii IormneVuclion or modAie�ationhwn�heA'v�epemeni Diatnd. RouEenliel mnat�udian eppieetiaa ere avempl /rom Iheae
proviaione.
Da�e: RVW�:
WOFKEF'S COMPDlSATON OECUHATION: 1 hxeby dfiem wder pemhy d psjury me d tln btlox'vp dwiveiiwa:
❑ in,�..�e.,u��a�naw.a�vma.n;�,�.b,.m�.:��..,wwwaio,nrsm�maoam.t.ev
coe.. �« m. oenormanc. a u» wM �a,.�:�, u,m v�,u e m.�ed.
1_l I luw md wil manten waVan' eompanetun iemvae�. o�quced by Sapion �)W d Ne lebar f:ode. b tM perlormvo d tM
ae wak la v.hiel+ Nia perm� c evued. My waken' wnpe`uetian i�aueenee wrbr enE pdiry number are:
c�,: STATE FUND EXPIRES
Pdry Number. — — � 1� Q 1� 9�J
/mis sedm need nw ee canok�ee � rne w�x ia m, an nmreree eor�eis Riool or bs, )
I eanLy Mei in tM pMmremw d IM wak In whieh iho parmn u ievueE. I e1Wl m� empby arry peieon in eiry menner eo u lo
/ ec m wbjee io iM woMensompema�ion lexs d Celifanu� vM apree ipq il I a�laJd barome wbjee b iM xwMen'
� �e: - -� �wa�m: r �.4 v �r��
np: F�Ilun ro uc�n wor4ai mmpauetlon eovereps l� un4wlu( �n • 11 ue/xt en anp/oyn ro crlMru/ penaMes �M
clvll flMs �q ro ons I�,ndreJ tlnuunE dolMn (SfOQP00A Mi etltlltlon h M if ol rompenaet/ory tlamsps� �s poHtlotl br In
�SxHon ])OS ol M� LWor Codr, InM1nst, end ettomey's M1u.
CONSTHUCiION LENDINO AOENCY: I Mreby elfirm uMx perely d perNT �� �haie u e mnstiud'an brdieq epmey br iM
parlarmenca W IhB WDM1.IOf whith Iha pBmil 19 e9YBE (SBGI,w13031. Civ. C�.
LENOEP'S NI1ME:
LENOEP'S �DDflE55:
I nnity ihm I heve raeE thia epplcmim vM nma �het Na ebova inlarmdion ia mrraa. l qiee lo mmply wnh dl ary eM coumy oNiruncee
eM eiete 4xw iNei'vq io buJEip eonmiaion eed Mreby eWar¢e mpeaentetrvee d Ilm ary b enter upon Ihe eEwe�mentiwieE popery
��""°"'�°�r°�"' GREG JOHNSON
Daie: � / ��/
(StSi<6 WP) W�ne-Buikiq 8 Selary: GraerFle: Cenery-ADP�^�, A�k-Revenue: GdEenma-/ue»wr
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: B 073707
PERMIT NO: B 073707 PLAN CHECK NO: 02787-95 A GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ADD
JOB DESCRIPTION : ADD 141SF BATHROOM 6 WALKINGCLOSET SQ FT: 12,500
CLAIM VALUE: 12,500.00 CALC—VALUE: 12,500.00 GROUP OCC: R-3 /
COMMENTS: ADD BATHROOM & WALKING CLOSET
x x�****�� �� **x **x x ******+�+�x�*x+��x � *+�**+�**�x�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 H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: 39 FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN
PAR}CING REQ: PROV: PARCEL; 14169314 ZNE: R1 REF NO:,
PLANNING NOTES> ADD MASTER HATHROOM AND CLOSET TO THE RIGHT SIDE OF AN
> EXISTING BEDROOM IN AN EXISTING SINGLE FAMILY RESIDENCE.
if if iF 1f iF if iF M iF 1E iE'IF iE iF iE iE iE'IE 3E �E 1E iE aE iF iF 1F �If IF iE IE�(' If if i(' iF �IE iE i! jf 1E �IE iE if iE'IE �F iE M 1E'If 1E iF 1F if if 1E if fE if �E �If 1F iE� iE1E 1F iF it ik.if iE iE IE �F 1E 3E 3E
D E V E•L O P M E N T S E R V I E S R E(j U I R E M E N T n
ZONING APPROVED BY � • DATE: �' G
HUILDING APPROVED BY : " Q �I� DATE: S� �
APPLICATION ISSUED BY: DATE: G•
iE i! if ik if af af if 1f 1t jf 1f �f iF 1t it * iE iE.1F1t �E iE fE iE iE iF ik iE 1f iF
LEGALIZATION:N F E E S U M M A R Y STRUCTURAI S GMENT
PERMIT
HLDG PMT
144.00
PLAN 23.40
ISSUE FEE
PLUMBING ELECTRIC MECHANIC
�
�
IE -0f
:Y
FIRE „'SMIP/RE� �GRADING
" 1.25
SMIP/NON—RES
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL � PAID DUE
TOTALS----> 145.25 0.00 � 23.40 168.65 ', � 168.65 .00
REVENUE DIVISION TOTALS--> COLLECTED: 145,25 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC �RE SMIP/TOT�,GRADING PLAN—CHECK
144.00 � 1.25�
if iE 1E 1E 1f iE 1E 1f 1E iE 1E'IF 1f 1E 1E iE 1E M li 1E 1E'1E 1E �E 1E iE 1E'lE iE iE �IE 1E iE �E 1E'lE 1E 1E iE iF iE iE 1E 1E'� iE iE IE if iE if 1E 7E 1(� 1E 1l' 1E')E 3E'%iE'IE iE �IE 1E If 1E ik 1E 1E 1E IE 1F if if 1E iE 1h 3E
I N D I V I D U A L F E E H A 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 12500 ALTER BY VALUE RESIDENTIAL NOZONE � 1.00 12,500,00
END OF FEES
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/ �
'•' 0! 09?S;i`9-;01�7�'6C Yi�?" :LS,? �
„ : uAT£: OZ!'_4;'�:� }'ii;E� 1.:94
�- - -...
CONSTRUCTION AND PLANNING P001 & SPA
APPROVAIS Permit # � ' Date Inspector qppROVALS Permit # ) Date Inspector
1. Temporary Electrical Service or P.ote 52. Pool & Equipment Location ,
2. Soil Pipe•Undrgrnd. ^ 53. Sreel fleinforcement "
i�3. Electrical Con�uit Ufi��ty-Undrgrnd. 54. Forms '
� =4i Electrical.6enattiS�S;IRdrgrnd. 55. Elettrica{ go�diag
_5;=5teel Reirtforcement 8��-� �� 56. flough Plumbing & Pressure Test _
' 6. Electr�cal UFER Gmd. 57. APPROVAL TO COVER�GUNITE
: �7�Footings_. .� .'j�' ' ��/5,.� �(,ri{� 58. Electricai Condult�Und�grnd.
' / i
;g�Foundatio � ��/'/�y ,� ^� SQ�Ig...gCJ ��( 59. GasPipe, O Uridrgmd.,Tesi
y� � ( v �
'�: Water Pipe-Und�gmd. .. 60. 8ackwash 4ines,.P•Trap, Cj Undrgmd.
1 '
10. Structural Floor System 61. APPROVAL TO:DECK . ..
�. Pro.Perty Sewer Line & House-Connection 62. Backwash & Receptor•Finaf "
12. Sewer Cap � ' - 63. Heater & Vent•Final �
73. Roof Drains . - 64. Plumbing SYetem � Final '
�t4. Rough Plum6yig`. . 65, Electrical-Final ,
75. Rough EYBcvica+-CorTluit ` 66. Solar SYstem�Fipa1 -
J
jb. Rough E4�ctricVJiriog 67. Fencing & AccesiApprovat .
t7. Rough W�ring S�gn 68. APPROVEp FbR PLASTERING
l8. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19, Rough Heat(ng & Air Conditioning , FIRE pEPT. REQUIREMENT
20. Rou9h Factory Fire�lace , ._ _` � - APPROV�L;S" ` Permit #- � -
2L �ucts, in'�Strttciureae ^ •• _ � �� � � � 70. Undergrou�l Fjydro �
22. �ucu, Ventilaiing .� '- � S ., �. 71. ProducAPiping 06as OOiI
23. Gas Ripe�Rough & Tost * � � _ + � 72, Underground Fiush� ' ' -
_,
24. Roo4 Frer�iing" _ --' ' �� .-: 7$� Undergmd. StorageTenk O Gas ❑ Oil
25. Roof,Sheslthing 8�3�-gt�' �(,�L 74. Overhead Hydro � `
26. T�Ba£'Ceiling (Str�ibral) & Mondc"oat �- �' ` ' _ � - , '
, i 75: Dry,�he�aical
y7, Frame and Flashing. _ �=`��q/" �.� 76. Dry Stari$pipe', - ` �
- �iy � .
28, latFiing �i Siding = • , `' ,� �. _' ," � " 7Y fIXED SYSTENI, FINAL -
� 29. Insulation �• ^�r J 5' �'* J ' + 7&� FIREPREV.FI'P{'AL r= Y,
' 30. Drywall (�ailing _ ' ' r ; � ' HEALTH DEPT.�REQUIREMENT
- 31. Piaster Br,own-Coat-�• . �.* .• �'Z%�( g-/��Q��: 79 FINAL INSPECTtON ..
. 32. ElectricaCPo�Qgr Me��rFjnal ' '° � � 80_ FOOD CERTIFICATE ISSUER, -
_. i �x " - � - .
•33. Kinal�Electric� �,�* :n T:� u+� a Notes: � ��('J-� �' ��-,� �
34. Finak}iea'ting: & Air Conditionirag � � � � � t - �; . `: . `_, r. „ -� . �,�
35.Fina(GasPipe;�eit�. - ,. I. ,; .. . � -�*
' 36. Hootl-or EanoPY ' � .- - - ' - . s - . . . .
c .; -'
� 37. �inal.Factory Fireplace _,... - _ ' , ' - .
38. Final �Plumbing .� ",. - • ' - . � : -
1 -.' 'T A T
c . _.
39. Water-Seivice:Final , - . - t r ' . �
; -
40. Gas Service-Pinal � r� " � S ' : i ' - ' � '
_, �. ,�-
�41. '$olar Oomestic-Fina( � �� - ' �, r � - r - _
42. Backflow Preve�ter � - � �
C� Y` /5- - �'w6����` ��
43. Backflow Irrigation ' ^ , ' ` - „ • ��� K � ��(y � ��;;��
44. Landscape IntpatiorrSystem � " - _ ` - '� � �� _' ` ` � �
^C S� .l S
45. Sqund Attenuation '",` . - ?� ` r `^ - " , `a: :
46. Handicap Regulations ` � �
< �� �
Q7, FINqL STRUCTUR� & BUILDING �-G/.5�� " - . -
t
48. PiNAL PL-ANNING � �- �' . - � .� . -
49, Electric Release to Edison � .
50. Gas Release to Southem Califomia Gas Co � � ' ' ''
a' ",-' _
51. CERTIFICATE OP OCCUPANCY ' -
No. Date
City of Costa Mesa �
California 92628-1200 P.O.Box 1200
Insulation Certificate
Permit Number —V � ��� �
�10� �C�t�� � 5� "�i�C�S C.�
Number antl S reet Ciry
C� G/1�� C_
County
Subtlivision
Loi NumbBr
Description of Installation
ROOF D___�. •
Material _��—���/� Brand Name .!!_%���G<<-1
Thickness (inches) �� � Thermal Resistance (R-Value) _��� +
EXTERIOR WALL
Material _U_�f_��—�-5
Thickness (inches) � ���D ��
Brand Name �.¢�✓d/LG_�
Thermal Resistance (R-Value) _.e1.�
CEILING
Batt or Btanket Type Brand Name
Thickness (inches) Thermal Resistance (R-Value) —
Loose Fill Type Brand Name
Contractor's minimum installed weight/ftz_ Ib. Minimum thickness inches
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value)
RAISED FLOOR
Material
Thickness (inches)
SLAB FLOOR
Material
Thickness (inches)
' Width (inches) _
FOUNDATION WALL
Material
Thickness (inches)
Brand Name
Thermal Resistance (R•Value)
Brand Name
Thermal Resistance (R-Value)
Brand Name
Thermal Resistance (R-Value)
Declaration
I hereby certify that the above insulation was installed in the building at the above location in conformance wfth
the current Buiiding Energy Efficiency Standards for new residential buildings contained in Title 24 of [he
California Adminstrative Code.
190] 46
Z
LitenSe Number
9 - zq- ���
Date
�,�d'S!6_9a--
License Number
9-a 9- 9�
Data
.
/
�
ADDNESSOFB�:o: 3104 TAFT WY
qYlTcHWEIF��OM��: MC HENRY, JEFF R
.oaxess MC HENRY, SHARON O
3104 TAFT WY
=OSTA MESA,CA 92626751-6806
�av�.unwrw �ooxess:
UNT:
FLOOD: X
z3�� Zq �
, CITY OF COSTA MESA — BUILDING PERMIT
47
PERMIT NO: P 073710 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU
dPCNRECTOPFlI(tlNEFA: HI—LO CONSTRUCTION CO, uc.wo.: 00000
4flCX.OPENQ'S/iWRE55: 928 N. HARWOOD uNr:
ORANGE CA 92667
wxm�crarsruue HI—LO CONTRACTORS, INC. (714)744-5343
CONfXRCTOR5MNl1NG 928 N. HARWOOD
�ooe�ss: ORANGE CA uc.ra.: 201162
9 2 6 6 7 �,,,:
LICENSEO COMPACTOHS DECLAHRTION: 1 hereby eflim uMm penelly d pnjury thm 1 em licansed uMer pmiiama d Cheqa 9
(�ommenaiq wnh Section 1000) d Division 3 d ihe Buvness anC PMessiona Code, erd my I'xanae u in full iwce vM e%ea.
c o.: uacuss: g uc.No.: 201 62 EXP:
e: ii' "rl'� c«nreaor
BUILDEfl �ECIAFRTION: I �ereby alfirm uMer paneAy d perN�Y Ihal I emq from Ihe Con�redas Lioame law la ihe
1 Ibwing reeeon (Senim )031.5 Buainese end PMexions Code: Any cny a mum ich repuiree e pe�mn m conatmcl, aliar, improve,
mofah, or repe'v any svucwra, pnor io ns owence, ebo requiree Ihe applimnl lo uch peimX lo file e eiB�� eieiement thm he ar eM
i licenaad W9uan1 to Ihe prwreiona d IM Con��e[lon Licansa lew �Chap�u 9(commmo�p wilh Setlion ]000) ol D'v'vion J ol �In
Businex eM Rdeaioru Cadal or ihet he a sha c exemq therehan eM �M bavo M IM elbpeE ewemqion. My videtion d Seaion
)O�t.S W eny epdiraM �or a permn wbpas iM epd�� �o e rnil paeuly d mt m«e Ihan liae hurdred ddlan �5500]).
❑ i,�ow�a�ainanoronr«mv«�abv�.anweo��maw.da�mva�.��o�,w�nmma.�,o�,�em..wa�re4�a�meoaee
or dfared fa sele (Sacuon 100A. Businass eM Prdessiona Code: Tha Con�reclora Licenae Lew tloes nM epply lo en owner M propeiry
w�o Wids «inproves tnerean, eM xfio Eaes eueh xwk Hmsell «Mrsetl a ihraqh ho «her own empoyaee, pewked ihm eueh
impo+emm�s ere mi imeMed a diereC ta eeb. X.Irowaver, iM1e Wipiiq a inpovemenl is eold wilhin oro yeer d oompbtion, the
owm�-0uildm xill lieve �M buNen d provirq he or sM Ck ml Wik a improue far IM W�a d ceb).
� I, es owner d iha qapeM. � eRduaivdy mnirectinB �h liwnaed contrecton to cansVud Ihe qol� (Sednn 1014, Bueimm� eM
Proleeaiona Code: TM Conlreciore Licenx law doea na eppty ta en owner ol propeM �o buiMa w improvea Ihereon enE w1w
mnvacb M eu li�projeas with e oonvatloKs) IkanseE Wnuent to ihe Comrenae Lkeroa lew�.
� I em exemq uMer�Section: B. 8 P.C., la ihis reemn: �•� {
o�a: ' o.,�a,
i ao na,eM oen�y mm i�..�e a�d uoeersie�e ine rea��remenn m ce�aom�e N.�nn e�a sm�r code sea�m. ums, zssaa, �d
25SM. eM ihei I a erry iNuro buikiip ocapam will / wll rld (rircb one) neatl to comply win eeid We�e mdee eM iha reQuimmenle M
a
e Ga�mn lamnsvuuian amodifimibnhom iMAr�B-Ty7i'areBamenl Distiid. Reekentml eaistewion eDP�ian ere eKemp Imm Neae
pransions.
Dale: AOO�K���
WOPKEF'S COMPENSATION DECLRNATION: I hereby aifiim uMer peneliy d peijury ma d ihs blloxiiq tlederetum:
� I hew ud xil mein�en e cerlFWe d cvnaeni b vetlJmum la xaken' compenaelian, m po+idetl fa by Seaion 3]00 0l ihe Lebor
coaa ie, �na wrt����<w ub � i«.m�n m�. ue�u �. �a�,a.
rl I heve enE will meintan vrorkeri mmpenmtun imurenca, m reQuiratl by Seclim �100 of Ilro Lebor CoCa, la Ihe perlormence d Ihe
7i wwk lor whkh I�ie paemn is iaued. My workare' wm nseiion ineuren<e rarrbr eM poliry number era:
c�.: S'�ATE FUND EXPIRES
va�r N�mw.: — — 01 / O 1/ 9 6
'(This seclion need na be compbteE I lhe peimAis lo� one hunEreE dWlem /$f00J p leseJ
pI nM ihet in ihe perlomience d tM wak Iw whch lhis permn ia ieauad, I ehdl � employ eny peison in ury mennar ro u �o
e wbjee io iha workere' wmpeeue�ion lewa d CdAwnie, eM epree ihel il I ehouk bxome wbjetl to ihe vrohers
�,ar� oL��s d sm� a�ao d me �m« cme. i m.mn m�M ,nn o.� �«.,.
De�e: '�_ ! Applkanl:
Iny: Fellun b �xvro worken'romperueHon roverags b un/ewNl, an � ell subJ�cl m�mployx to ctlMm/ penaltlu end
e�W� n�.. up ro on. nunarw rnouune aa�m (tia4000l, �n.edrtron ro o.� or �omo.�,..�mn wm.w .+v.o�ro.e ro. i�
Sxtlon O1P6 0l ths la6or Cob, Inhnaf, mtl ettomsy'� /su.
CONSTNUCTION LENDIN� AOENCY: I he�aby elfirtn uMer penely of perjury IhN Ihere b e mnslmd'an bMi�p apenq br iM
paAo�menm W �M1a wu�lc br wTich �ho peimn is seued (Sed'pn 309). Civ. C�.
LENDERB NANE:
LENOEF'S ADDHESS:
I Cerlly iMt I hevalBed �his eppliraiion eM selB Iliet Iha ebwe iniwmmpn is cortep. I egree 10 compy wil� ell ary vW county mdlnarKea
eM aieie levrs mla�ing m building conrruciim erd Mreby eNhor¢e representetivea M ihia dty to emar upon �he ebwa-mentbned properry
mrio:�em�a��w�. GREG JOHNSON
o�a: �'S�%'�
(5151-a5 WP) WAne-Buildiq d Sefery: GreerFle�enary-RppFfani: Nnk-Revenue: GOWenroLNuasor
JOB DESCRIPTION : ADD 1415F BATHROOM & WALKINGCLOSET
CLAIM VALUE: CALC—VALUE:
PERM NO: P 073710
GOVT: N SUPP: N
i'311:1�ixY�e�il�
SQ FT:
GROUP OCC; R-3 /
COMMENTS: ADD BATHROOM & WALKING CLOSET REF: 8-73707
*�**��**���+�***x��**x***��*�***x+�****�����***��**rt**+���****�*�*�**x*����**x�***�r*
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN 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
PARKING RE�• PROV: PARCEL: 14169314 ZNE: REF NO:
PLANNING N TES> -
i "�
iE �E IE if dE iE 3E 3E iE iE if iE 1E iE 1E if iElE iF 1ElF 1E iF fE 1EiE 1E aE 1E 1E IE 1ElE'lE �IE if IklE IE 1E 1E iE iE iE 3ElE'lE'lE Ih iE iE 1E 1E iE 1E iE IE IE iF 9E IE if IE iE iE ib ih 3E i4 iE iE ik 3E �E 3E IE 1E 1E �E
D E V E L O P M E N T S E R V I C E S��` R E Q U I R E M E N T S
ZONING APPROVED HY ` DATE:
HUILDING APPROVED BY : i'�. DATE:
�� ��
APPLICATION ISSUED BY: '-•/
***��������***�tx ***�t+t*
LEGALIZATION:N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 28.00 �
25a �i
PLAN _y. ,
ISSUE FEE 20.00
BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK
TOTALS----> 28,00 20.00 � 0.00
t�:. .
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMHING ELECTRIC MECHANIC
48.00
STRUCTURAL 15E�MENT:N
FIRE SMIP/RES GRADiNG
SMIP/NON—RES
TOTAL PAID DUE
48.00 48.00 ,00
48.00 OVER/SHOEiT: .00
FIRE SMIP/TOT GRADING PLAN—CHECK
� � �
1E iF jE if IF if if 1E 1E 1E if !f 1ElF 1E iE 1E 1Elf 1E fF iE 1E iE fF 1E iE iE iF 1E 1E 1E 1E 3E 1E 1E 1F iElE IE IE 1E iE iE iE aE IE jf 1ElE iE 1flF iFiF 1E IE iE 3Elf IE fE 1E iE 3E 3E fE If iE fElE jE iE if 1FlE if iE 1E
I N D I V I D U A L-1 F E E B R E A K D O W N
TYPE QTY D E S C R I P T 2 OJN'�"` UNIT COST TOTAL COST
PLU 1 BATHTUB �`-� "' 7.00 7, 00
PLU 1 SHOWER % 7.00 7,00
PLU 1 WASH HASIN (SET) � 7.00 7.00
PLU 1 WATER CLOSET (TOILET)ti� 7.00 7.00
END .OF FEES
"i
%
� �4
��•,,
� ,;, fj.
.
„
�I �Q�i�;9.;_-7�'•1S'9e: 'F'�T =8.17G
�ATE: �°/G5 �t5 '1.�'r: 1:'.p`
- _ =:
� CONSTRUCTION AND PLANNWG �, POOL & SPA ' }
S� APPROVA4S Permit # ' Date Inspector qppROVA�S Permit # Date I�spe�mr
t. Temporary Electrical Service or Poie 52. Pool & Equipment 4ocation
J
2. Sop Pipe-Undrgrnd. e��� 53. Steel Reinforcement �
. .�: •ElBctrica!-Condnit UtUitY-Und�grnd. 54. Forms
�4„•Electrical.Condurt�Undrgmd, 55. Electrica! Bontling
�- Steel Reinforcemenf 56. Rough Piumbing & Pressure Test ,,
6. ElectricalUFER�-Grnd. 57. APPflOVALTOCOVER�GUNITE
-7.'Footings',;,;? ���• 5$. Electrical Conduit�Undrgrnd. -
T8: Foundation. - 59. Gas Pipe, O Undrgrnd., Test
"9' Water Pipe�Undrgrnd. �� 60. Backwash �ines; P-7rap, G Undrgrnd. �
10. Structural Floor System 61. APPROVAL Tq DECK .
it. P�operty Sewer �ine & House-Connectiar� 2��5-- 62. 8ackwash & Receptor�Fina}.
12. Sewer Cap ''� 63. Heater & Ven[-Final .
,7 3. Roof Drai�s '-�, 64. Plumbing System - Final
14. Rough Plum6ing- ., 65. Electrical-Final '
t5. Rough Elecirical-Conduit ` 66. Solar SVstem-Finai
•76. Rough Electric 4L�iring � 6�. Fencing & Access RpP�oval
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Electricai�T Bar Cailing ' 69. POOUSPA 5YSTEMS FINAL
19. Rough Neating & Aif Condi2ioning , _ ,_ FIRE.DEPT. REQUIREMENT . __
20. Rough FattocY Firepiace ; � � :ti � , - _ - APPROVA�LS •. Permit # �_-�.,��1-- - -
21. Oucts, in 5tructure� ^ ' " ' � � - ' _ 70. _Undergrouod Hydro � �
I
22. �Ducts, Ventilatin ' - � ' '�
Q,. r . . 77. ProducUPiping�Cl-6as ❑Oii
23. 6as Pipe-ftough & Test - _ " '� �� � _ _ � 72. Underground F(ueh + -
24. 'RooYFranung � �-', �� " - ., �' 73; Undergrnd. Stcreage Tank G Gas ❑ Qil �
25. AooS Sheathin9 - �` "' '� = y � 74. Overhead Hydr,o _
�
26. -T�Bar,Ceiling �Strucjural) & Monocoat ' , j, - =;��� 75�. Dry Chemical •- - � � c: •: :`
27. Frame and Flashing •. _ � - 76. Dry Standpipe' � �� =-
;
� 28. Lathin & Sidin �' ' ' ' ' - . ... �
3 9` �• �.r' � r 77. FIXED SYSTENF�FINAL- r~
29. Insulation� •• ^ 78., FIRE-PREV. FiM17Al -
30. Drywall NBiling ,_ ._ ,: �. �; '�-�,= . - HEALT�H DEPT. REQUIREMEN7
31. Plaster Brown Coat� �' > * * 79. FINAL CNSPECT70N '
- 32. Electrica7_Power Metier-Plnal ' " . 8f7. FOOD CERTIFiCATE ISSUED -.
� 33. finak.Electric� - � �� � •• Notes:
. -'. _ • _ : - - �����15-Gr_1'Z_b�J_rva'J=._ �����,
34. �Fina3�Heating & F�ir �oncTitioriing � ' , ;
_ _ �., �-Z� -_�Zs - _ ��<x-�Z-_�LL
35. Finai Gas Pipe•Te'st � � �� . � � •
': :,
'� 36. Hood'or CanoPY r . � - - . ' -. � .� � •- '^ !
' �' � 1
- 37. P�inal��FaciPry Fireplace - ^ - - • �
r
�. 38. Final Piumbing . "_ � � � - �' _
39. Water Service�Flnal c__ i-. � �
T
� 40. Gas Service-Finai � ' ' _ . " *'% -; - �. -- .
= 47. Solar Qomestic-Final ' �� �. ' � _ . ��'. =� - -
42. Backflow Preventer ' - " - . - '
-, > . . -
43. Backflow Irrigation ;: ;. � � « . � �- � � � • ��� •
Y -
44. Landscape Ir�iqation System _' ' � . _ ` _ � -'
�:�
'45. •Sound ABtenudtion, . .. � , r �� . . �. • - -
46. Handicap Regulations - � ' -= -
- � -
47. fINAL S7RUC7UR'E & 6UILDING � _ ,
48. �FtNAIPIANNiNG ` ' . • � .' � ' . .
49. Electric R�lease to Edison � '� . �
, .'
=,
�-50. Gas Release to Southern Califomia Gas Co ' ' ' '
51. CEfiTIPICATE QF OCCUPANCY ' - '- ' ' - -
No. Date
nooxrssaam�wm: 3104 TAFT WY uNT:
ONNFA'SNRYEIFpqWN: MC HENRY, JEFF R FLOOD: X 47
�oopEss MC HENRY, SHARON O
3104 TAFT WY
=OSTA MESA,CA 92626751-6806
APPL.Y/JUNG ADURE55:
u�cxrrecran��x: gI—LO CONSTRUCTION CO. �� 00000
AIiCH.OP EHG.'S AOOPESS: 9 2 S N. HARWUOD �MT�
ORANGE CA 92667
c«+mi,cTarsxu� HI—LO CONTRACTORS, INC. (714)744-5343
ca+m�croRs�uuxc 928 N. HARWbOD
�ooness ORANGE CA ucxo: 201162
92667 UNT:
LICENSED COMNACTOHS UECUFATION: I heraby aflvm 4Mx peneXy d pmjury Mm I em licansed uMs pwisiona d Clapm 9
(mmmerid�g xvlh Section 1000) W Drvisun � M the Busi�wss e� p�f¢yvony Code, eM my limwa ia in lull brte eiM efled.
c .no.: uc.cuss: B uc.No� z0 16 EXP;
�a: c�,�,��:
WNE BUILDER OECLPPRTION: I Mreby effirm uMer pen�y q parN�' �� �xamq Imm IM Contmdae Licenae Lewip tlre
db - 9 reeson (�ion 10�1.5 Busmsa vM Protemons Copa: Riry cry a mu idi requirea e parmn lo wnvuct. el�er, impraro.
ie eh, or repa'v eny ai�ucture, pior ta ns asuerKe, ebo raQuiree iha epplirant lor auch permn to Rb e aigneE alelemenl ihel he a eM
is icensed pursuanl �o �he pronsore d Me Conirectas Licenye �w ��hepar 9(mmmeiwrp xiih Seeun ]OW) d DNbion � d tln
Busine a end Prdassnns Code� w the� he a she is azemq thya��om �d ihe beais la Ne ellepeE examqion. My vidatian d Sedion
)031.5 by eny epplirsnl for e permn subpee tM epd�� �o e q„I penely d ml mare �hen iNe �uMrad dolbn �5500��.
� I, as oxner oi Ihe pmpeny or my amqoyaea wnh wepea es ��a �le mmpanaeiion, Mill do IM woM, vM IM sinwlun a m� imeMed
a ollereE br sala (Saclbn ]Oa4, Buvnass end Profeasiona Coda: The Conlrecbn Licenae Lew doea mt epply io en ownm d propeily
who buids a enprovas tMreon. enE wfio dren aueh xoA Mmsetl or herseM ar thraph he a her am employaea, peovided ihm aueA
imD�mems are not imaMed a oilereE lor aele. M, howeV¢r, lhe buiMiip a'un0�'�enl is adtl wilhin ona yeer d campinpn, iM
owrwr-buiNer vnll heva Iha buNan d provin8 � or nhe dy �q y�ik w imprwre Iw �M W�e d sab).
� I. ea ox�r d IM prope�y. em eRduaively canlredmg wi1M1 limneed conlrxYaa b r.malrua IM qal� (SMvn ]Wi. Busi�se eM
Prolessions GOEe: Tha COMradas Licrosa law tloea nq epply ta en owner d propeM �o WiHs or impoves �herean eM who
COIIVeC�9 �IX 6Yf�1 plO�Bd3 Wllh fi WI1�l9UOf�H) �CBf190d pYRI1BM �O �hB i�i011lf8dOf9 �1CM9B �BW�.
� I em eaemW under Seciion: B. d P C., la thie reemn: .
Data: �u
I do hereEy cenity thei l em awara d vd uMerslena Iha requir�ems af Celiamie Hael�h end Sefety Code Secluns z5505, 25533, eiM
2553a, end Ihet I a eny INure Wildirp oaupent xill / will rwt (nircb aw) neeE lo camply w9M1 edd �me mdea e�d tM rx�uiremanla br
e paimn brmnsvucwn or moERcetionhwn �MAi�eregement Umria. Reaidemiel mnstiudon eppticelionsua e�empt Imm thwe
Ipravisions.
Date: ADW�nI:
WOFKEF'S COMPENSATION OECLAflRTION: I hereby elfirm uMer panelly d parjury aia d ihe lallowirp dedve�iona:
� I heve eM vril meintan e canJce�a d conaeni to eeM�inwb iw wwkere wmpanavbn, es provided for by Seqian 3)00 d tM labor
Cede, la th0 pMwmene0 al the woM1 in whieh thia perm�q � jyy�¢�.
� 1_l I hsre end witl meinlem woMere wmpanulian inaurence, ea rpuired by Sadim 3)OO W tM Lebor CaAe. fa IM parlwmeMe d tM
1C woM lor wM1ich thie paimil is inuad. My wukers' mmpenq¢�ion insurance raner eM policy number ere:
c��,: STATE FUND EXPIRES
aoiKv N�mna�: O 1/ O 1/ 9 6
�m�: sen�o� ��d �w ae comcieree ✓ rne va�a rs ro, o�> wnered eoners Isrool w bss.�
I cenM �het in Ihe pa�lormence W Iha wwk for xfikh Ihig pa�il is imueE, I ehell � amdeY �Y Pa� in eny menner eo av to
come subjed io Ihe wnilcere wmpense�ian lewe d CelAamie, end eprea ihel H I eh999uIC become eubjed io �he xwken'
ompenselion provisuns W Sedion 3]00 W Ihe Lebor Ce�, I ah f hwith mmp wnh th�4e provisbns.
��f'S� �
e ! OW�nI:
Ing: Fellw ro awuro woderi compenaaUon rovenOs b unlewlu( antl M aub)wf en smploysr to ctlMnel peneMu anG
clvll Mro� W ro one hundrM fMuuM tldlan (5100,000), In atltlltlon ro Ms t ol rompuuetbn, samepu u prov/God bi /n
SxHon 9106 0l fhs Labor Code, Intuut, entl atromsy'a /esy
CONSTFUCTION LENDING AGENCY: I hereby eKrm undm penely al perjury iM1et there n e mnsimdion IeMi�p epenry 1« iM
pBl�ORIIBIICB O�IhB MVf�(/M W�1ldl�h� plf1111 19 681IBd�$BCIY11309�,CiN.Ci�.
LENDEH'3 NAME:
LENDEN'S ADDHESS:
� ceniy me� � nere reaa mb eaafcmlon eiw Aete mm me mwe i�romienon la conee. � epree m comoN �+m el� cny ene mumy ominencae
end siate leMs releling to builEmg canstrudion erd �areby eu�ha��e represenlalives d I�is cly b enter upon Ihe ebove�mentoned propeity
iormso��a��w��. GREG JOHNSON ..^^�
W�ile-Buildiip 8 Sdery;
(^ �j r
De�e: �_ / r `` �
Pink-Revenue;0oldenrod-Rssassor
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: M 073709
PERMIT NO; M 073709 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: ADD
JOH DESCRIPTION : ADD 141SF BATHROOM 6 WALKINGCLOSET SQ FT:
CLAIM VALUE: CALC—VALUE; GROUP OCC: R-3 /
COMMENTS: ADD HATHROOM & WALKING CLOSET REE: B-73707
��t*itatetat**� **+r+rit*�et*�at*�*�****rt�r� *+��*��*+�***�*��t�***x����t*�at*at*�*�r��***at*�**��r�**
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14169314 ZNE: REF NO;
PLANNING NOTES>
i -
1E iE �E 1E IE iE iE 9f if iE 1F 1E �E �E 9E 3E iE 1E fElE iE 1k ik if 1E iE 1E iE iE iF 1E 1E �E �k 1E iF iF iE 1E * iE iF IE �E IE 1f i! if 1E iE iE 1E iF iE if �E 1E iE fE 1E 1E if 1FlE 1E 1E iE iE jE 1E if 1f 1F iE iE 1E iE IE iE
D E V E L 0 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:
BUILDING APPROVED BY : . DATE;
�, �� .�
APPLICATION ISSUED BY: '
-iEitiEit*�t�tx�i[�iEiEiEiEiEaEi[�itiEiEiE*iE�F�fiF�FTF'iF'iFiFTF'iF7����iF�7F`�7F3F7F�F3FiF7fiFiF�FiFTF3FiFiE�E*�FD***iE�E �� iEiE
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL EGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 9.00
25$ SMIP/NON—RES
PLAN
ISSUE FEE 15.00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 9.00 I5.00 0.00 24.00 24.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 24,00 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
24,00
,
3E IE iE 1E iE IE iE'IE'lh IElh 1F i(� iE if 1F if iE iE iE iE 1E ahlE IE iE 9E �IFlE iE 1E IE iE iE i(� iF iE 1f if ik IE iE IE iE �E 1E iE aE 1Elf i6lE'lE 1E iE 1E 1E 3F iE �)E iE 9E fE 1E 1E 3E 1E if iE 1k 3E i61E iE 1E 3E 1f iE 1E
I N D I V I D U A L%• F E E H 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
MEC 1 REPAIR/ALT HEATING UNIT/SYS W/CNTLS 9.00 9.00
END' OF FEES
�. ,
z
ui ODf£�951-f�QY$'9Ei '�"La�lr ?4�Q'J
n��r�: osro�!s-� T,�7F: ,�:oY
CONSTRUCTION ANp PLANNING �
APPFiOVALS Permit # Date
1, Temporary Elect�ical Service or Pole
2, Soql Pipe•Undrgrnd.
'3.� Electrical.�Conduk Utility�Undrgrnd.
=4� �lectrical�Gon`4,uTia:lndrgrnd.
'5; Steei Reinforce
6. EI'ectrica(-UFE
�7. Footings �x
gr Foundation" -
�-
'9.�Wa,fer Pipe-Und �nd. T
t � r �
10. StrRuctural.Floor System
11. Property Sewer �L�ine & House�Connection
12. Sewer Cap � ' --, ' .
L3. Roof Orains � �
14, Rough Plumbing. ,- ,
75. Rough Electrical-Conduit �
-76. Rough E�ectricMiring
77, Rough Wiring 5iy�
'18. Rough Electrical�7 Bar Ceiling
ig, Ro�gh Heating & Air Conditioning
$,
20. Rough Fyctory Ficopiace '
21. Ducts; in Structure � •• •� - '
� -
22. Oucts, Ventilating'' .
23. Gas Pipe-Rough & Test . _ -
24. Roof Framing" � ' " '
25. Rool.Sheathing �- � •
26. T��Bai Ceiling (StructLrall & Monocoat
27, Frame and Flashing. ; . .
Z8. LatHing & Siding • � ,
29. Insulation � " �� �
30. Drywall Nailing �
31. Piaster Brown'Coai-+ �: �
32. ElectricaLPovier MeterFinal-�u
33. Final.EleGtric� �- � ., -
34. Final Heaiing & Air E�ndixioning - _'_��
35. Final Gas Pipe:"fest
�-
36. Hood-or Canopy , ' . , .
37. FinaV�.Faciorv FSreptace - -
38. FinakPlumb�ng '
39. Water Service�Final � �-• � .
40. Gas Service-Final � � � - -
��
41. 5olar pomesticFinal, '" � .
42. Backfiow Preventer • �'
43. Backflow Irrigation , ' - -
44. Landscapelrr'rgationSYstem_' � �
45. Sound Atienuation : ..
96. �ndicap Regulations
q7. FiNAL STRUCTURE & BUIL'DING
48. FINALPLANNINGX '
�
49, Electric Release to Edison .
50. Gas Release to Southem Califomia�Gas Co
b1. CERTIFICATE OF OCCUPANCY
pate
c
PQOI f4 SPA /I �'��
Inspectoc APPROVALS Per 't # - �ate tnspector �
mi
52. Pool & Equipment Location,
53. Steel Reinforcement �
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER�GUNITE
58. Hlectrica( CondLit,-Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test ,
60. Backwash Lines,-P�Trap, G? Undrgrnd.
61. APPROVAL TO:DECK
62. Backwash & Receptor-Final � �
63. Heater & Vent�Fi�ai ,
64. Plumbing System � Final -.
65. Electrical�Final .
66. Solar SYstem�FinaJ
67. Fencing & Access �ApP�oval
68. APPROVED FOfi�P�ASTERtNG
� 69. POOL/SPASYSTEMSFINAL
FIR,E pEPT..REQUIREMEfVT _
' �APP{�.'bVAL,S,,:'Pe'rmit# �` - ,-
' � � 70.'Gnderground HYdro '
F'
' � . 7t. Psoduct Piping 0�6as �Oi4
72. Unde�ground Flosh =
� _,": 73. Undergrnd. Stoiacje Tank. L� Gas ❑ Oil
� � 74: Overhead Hydra _., '
. 7�_ Dry Chemical �_ - � ' " --
i 76. Dry Starxlpipe - r , c
� '� 77: FIXED SYSTEM�-EINAL -. � �
' 7S. FIRE PREV. FINAL � � �
{ - HEALTH�DEPT.REQUIREMENT
79. FINAL INSPECTtON -
, ' � 84:. FO00 CEFTIF-�CATE {SSUED -
n,ote5� Sr�a -9G�-2R-�L
n i-,- � . .�', .
+ �
- r
4 - _ �
1 F ~
�
� ` �' -
j aoop,usorauaara: 3104 TAFT WY UNT:
YlMERSjN:MEliplMlN: MC HENRY, JEFF R FLOOD: X 47
woxEss: MC HENRY, SHARON O
3104 TAFT WY
'OSTA MESA,CA 92626751-6806
AYYL.MIJIING AUDNE54:
u�cxnecrowe�v+ffn: HI—LO CONSTRUCTZON CO. uc.ra.: 00000
uux.on�•s�oonEss: 928 N. HARWOOD urir:
ORANGE CA 92667
ca+m�ctonswue: HI—LO CONTRACTORS, INC. ( 714 ) 744-5343
cam�croxs�uwa 928 N. HARWOOD
�ooness: ORANGE CA ��,�,; 201162
92667 uM:
LJCENSEU CONTflACTON4 UECI.�FATON: I lroreby eM'rm u�Mer penety d perjury tM1et I em I'cenaetl uMx prwidone of CM1apx e
(�ay ip wn� Saction ]OOOId P�vion � d�he Bus�wae eM PMmsbns Code.eed mYlioarvseiain hllloru ard Mlae.
.CmuclNo.: uc.cuss: B uc.No.; 201162 EXP:
QWFlER BUILDEN DECUR4TION: I heraby eifirm urdar parely d perpiry Ihet ( ep/ezemp /mm �M Comrea«e Licenae Lew I« �hs
rolbwiq reeson (Seaion J031.5 Bueireea vd Professione Code: Any c!y or cou;{�xfiM requiree e peimn �o rorown, elier, improve,
Eamdch, a repei eny eliuduro, prior io na eauenm, ebo reQuirae Ihe epplireM for auch pertnil to fila e sgried etelemant I�et M a ahe
is licensed W���� �o Ihe provrsione d the Conlredon Limnae lew �Chepter 9(mmmend'p wilh SeGbn ]OW) d DHbion 9 0l lhe
Businev end PrMeavona Code� or �het M or eha ia exemq Ihxal�om end IM besia in ihe ellapeE exempion. Nry violelun d Sed'nn
)031.5 by eny eppliceni lor e permil wbjede the epDlicent to e c'rnl periahy W nw more ihenlrve hundred ddlw �350D��.
� I, aq owmr of iha propeny or my emplv/aee xiih wepea es the'x eob mmpanaeiion, will do Ne xvrk, end Ihe svuclura w rw� in�endad
or Merad br eele (Seclion 100C, Buaneae eM Profeeaiona Coda: Tl�e Conlrecton Lironsa lew Eaes rwt epOH �o en owner d properry
who buibe w mprovea �hereon, vd xfio does euM xnrk Mmsell a MreeM w thraph he a har awn employeee, providad thm euch
improvemame ere rat interMetl a oHeieE br aela. H, however, Ihe Euitlinp a improvemem ie aokl wAhin one year ol completbn, lhe
wnerbuiMm xill heve �he buMen ol provin0 he or ehe Ek nd Wild a impmve lor �he puryaee N We).
� I. ee ownar W Ihe propeM. � awclueivety conirxtin0 �h licenmd conirecMon ro consUud Ihe pml� (�� ]�. Buairrosa eM
Pmiesaione Code: TM Conveclon Licenae Lew doee rwt epply to en oxner d propanY �o builde a impwee Ihereon end xho
conVene lar wch prol�a xilh e wnvector�e) IcenseE pureuent to ihe Contrmas Licenae lew).
� I em exemp undm Senion: B. d P.C., br Nia reeaon:
Dete: O�mec
I do hereby ceniy Nm I em eware d uW uiMeniend the requiremenb M CelAomie MeeXh eM Stlety Code Satliona P5505. 255�3, eM
255J0, enE ihet I a eny INun buildiip oxupant vnll / wJl nn (arcb ma) need to rnmply w1h eeid etale oodm eM iM �puimneme 1«
e permil lawuvucimn a motl'ifiulbnhom iMA'r�ly . anepemenl Diatnd. ReaEaMial mnat�uction eppfistbna ua uampl /mm IMee
yrovisiu,..
Dme: ADd�
W ORKEN'4 COYVENSATION DECLAfl�TION: I hereby elfirm uMe� penelly d perjury ans d Ihe blbwiip Eedutliom:
� I Mva eM wil meinten e canEicme d oonsen� lo saMinwn br xaken' campenalion, m praritled lor Ey Setlian �100 d iM leba
Code, la �M prlomianca d Ns v.wk /a xiich Ihie pvmn a iasuad.
�J in....�e�;e�m.�.on�noomo«+�o�mw�.�w,.+�.aw�eaMsaa�,aroowme�cae.m.m.wno�m�.am.
.,nia,.n�ma�nma.�.a.Mrw�+'S'�ATE� FC�ND ����um��: EXPIRES
c�..:
Pdicy NumEer. — — � i� � 1� 9 6
(This sedian rreed ml bs romplend / fM perml ie h ons hvrMreE ddbn /SI001 a lau.)
❑ I oMN � in iha perlamerce M IM wM lor whc� Ihie pertnil ia inueE. I tlall ria empby a�ry panon in enY menrw eo m to
�i ome wbjetl lo �M wakers' compeneelion lews d Cdifanie, eM epree �hel tl I&wuld becoms wbjed lo IM worksn'
/�co peneation provi 'one d Sedion 3100 0l tha labor COEe. I M nhwnh mm N' I� tMa prarieiora.
/.
eb: Applicenl:
Inp: F�IIVA ro sxun worRai compxu�tlon ronnp� I� unNwNl, �n . n sw/ecr en .mpmy.r ro cmm�e� pxr.mu �ne
elvn nM. up ro om nu+er.e mouxnd eabn (SraqooaA in •eeinon ro th � o� eonw.�••�ro�, a,m.o.... a.o.�e.e ro. ��
Sxnon 8]O6 0l Ms L�6or Coa, /ntxut. �na �ttomsy'� Iw.
CONSTqUCTON LENDINO AOENC�: I hereby �im unEar penelry M paryury Ihet iMre o e consl'udion IeMinp epancy fa IM
perlormenca W �M v.oA br which �hb pertn'G ie eeued (Seaon 3a9), Ciu. C).
LENDEP'S NAME:
LENUEH'S RODHESS:
I can'dy �het I heve reeE Ihia epdKelion errd elele �hei tha ebove iniwmetion ie mrrea. I egree to compy wnh ell cky and counry adinencee
enC stele lewa rolalin0 �o builEinB ��^^��utlion eM hemb/ eulhor¢e reproaenle�ivee M Ihin dly lo enlar upon iM ebove�menloned propeM
�°`�°'P°"�°°P°`0°'°' GREG JOHNSON
ome: 8'f'/7
(5151-IB WP) W��e-9uIIEvp 8 Setery; �ree�rFle: Genery-AOW��� P�nh-Herenue; GdOenrod-0.5aesew
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: E 073708 PLAN CHECK NO: N
CONSTRUCTION TYPE:
JOB DESCRIPTION .
V—N PERMIT TYPE: ELE
ADD 141SF BATHROOM 6 WALKINGCLOSET
PERM NO: E 073708
GOVT: N SUPP: N
SQ FT:
PURPOSE: ADD
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: ADD BATHROOM G WALKING CLOSET .REF: B-73707
*��t*itit*�***�**�*****it*iE�t*i��+t*�t*itat�at*et*et***it*x-**if�ie*+e�-******at�t�-***f��-ie*�t*****�tat**
Z O N Z N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14169314 ZNE: REF NO;
PLANNING NOTES>
� �l
. /
D E V E L O P M E N T
ZONING APPROVED BY .
BUILDING APPROVED BY :
APPLICATION ISSUED BY:
LEGALIZATION:N
�f iE fE iE IF aE,1E iE iE 1E IE 1E iE IE iE iE iE IE iE iElf� i(� 3F iE iE iE iE iE'iE IE'%iE 1E 3E iF iE iF iF IE i6 iE if� iE iE iE 1E IE iE 1E iE
S.E�R V I C E S R E Q U I R E M E N T S
/
"Si DATE :
^' DATE:
�
� � DATE:
iE iElE iE iE iE iE iE 1FlE���iFiE iE
F E'E� S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 11,25
503
PLAN
ISSOE EEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 11.25 15.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
26.25
FIRE SMIP/RES GRADING
SMIP/NON—RES
TOTAL PAID DUE
26.25 26.25 .00
26.25 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN—CHECK
1E 7E 1E 1E IE iE iE 1E iE 1ElE if iE fE iE ik if iE 1f iE IE 1F 1f 3E iE IE 1E 1ElE iE iE fE �IE iE iE �E iE iE IE iE 1E 1F iE 1E 1(� if if iE iE f("lE iE iE'lE iF 1E 1E 1E 1f jE IE 1E 1ElE 1E iFlF 1F iE iI� �f ik iF i41E iE 1h �IE 1E
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
ELE 6 FIXTURES, LIGHTING
ELE 5 RECEPT/OUTLET
ELE 4 RECEPT/SWITCH
1 ST 20 EA.
1 ST 20 EA.
1 ST 20 EA.
END OF FEES
.75
.75
�i Oalu"74b3—�D13?983 T Ct'9'
LF.TE: CE/Q9t95 TIME' 12��35
4.50
3.75
3.00
�5.25
� . . � _
CONSTRUCTION AND PLANNING • POOL & SPR
'��'-- APVROVAIS Permit# Oate laspector AppROVALS Permit# Date taspector
1. Temporery Electrical Service or Pole 52. Pool & Equipment Location'-
. �
2. Soil Pipe•Undr9rnd. 53. Steel Reinforcement �
.� 3� ElEctrical Conduit Utility-Undrgrnd. 54. Forms �
^i;4,. Electrical-Coriduittllndrgrnd. 55. Electrical Bonding �
;: 5, �Steel Reinfprcement 56. Rough Plumbing & Pressure 7esc .
'6. `Elearicah UFEI� Gmd. 57. APPROVAL TO COVER-GUNITE �. (
� �7. �Ppotin9s� � = ' 58. Electrical Conduit•Undrgmd.
'�'8: Foundation, - r;:, 59. Gas Pipe, � UFrrt,J�gmd., Test
" 9: Water Pipe�Undigind. �. 60. Backwash Li�Qs; P-Trap, y Undrgmd. .
70. St�uctural FloorSystem - 67. APPROVALT�O'DECK
11. Property $ewer�in�& House Connection 62. Backwash & Receptor�Fina! , i
12. 5ewer Cap " ' . � 63. Neater & Vent-Final � �
,
.t 3. Roof Oroins �.' . 64. Plumbinq System - Fnal j
;14. Rough Plumbing 65. Electrical-Final
15. Rough Efectricai-Conduit ; 66. Solar SYstem-Final
76. Rough EfBctric.4yiring 67. Fencing & Acce"ss�Approval �
t7. Rough Wiring Sgn 68. APPROVED FOR PLASTEFING
18. Rough Electrical-T Bar Ceiting � 69. POOUSPA SVSTEM14S FINA�
19. Rough Heating & Air Conditioning � Fl.RE,DEPT,,REQUIQEMENT ., _
-, _ „ rr. ._ ,� -r„ -• - �.- � �r � -_
20. flough F'actocy Fireplace ,. �,�- . S= T. x,-, APPROV-ALS" •.� Permit # -
21. puctr, in StructurC ' .. .. _ +' - L ' 1
� � ; � r 70.�Undergrpu�d Hydro
22. Ducts', Ventil3Ting�'.� ` �� . • : -`� c 77,'productPiping�d�Gas ��Qil (
i
23. Gas Pipe.Roifyh & Test . '' '� -�� ^ 72, Under rb nd Flush " ""
r ,-r, 9_4
24. RoofFraming ' ' � � �� - � � _.; � 73. Undergmd.5tcnageTankGGas ❑Oil
25. Roof Sheathing -. ' v* . 74, Overhead Hvdro.... �
26. 7-Bar Ceiling {Strucfurai) & Monocoat .` -� - _ 75�. Dry Chemical - �� � J -
27, prame and Flashirrg _ .4 ' - � x 76. Dry Stac�dpipe ,: � ; ` _ :' `
' 28. Lathing&Siding�� � -: � �-� ., ' ��� '_ 77; FIXEpSYSTEMFINA�L�
29, Insulatio� _ � r ` 7g, FIRE PREV. FINAL " '
30. Urywatl Naiting _l;. _ �. � � * � ��M,�ALT,�I,DEPT. REQU{R-EMENT �
31, plaster Brown Coae* : i'� � �" 79. FINAL FN�PECTION �
32.:Electrical.Power Ni�f�'r-Pina! � '� � �' 80: POOD CERTIFiCATE 15SUED-
. 33. FinahE�eCtric: � �, � ' �•D/� � � Notes: - - - - �
� 34. _F�nal Heating.& pj_r Conditioning � �. _ �,'' � . . � � . . -
35. ,finai Gas PiPe-Test � - .' - � � " .-. - -. � �- � �.+,=. -
R
36. Hood or'Canopv ''- _ Q� �.. , , ,. � - _ � ..
�.
37, Fina6Facm�YF��epiace'^ - �' ` 'G • �
� � a r. -
38. �inal'�Plumbing . ` Y ;� . � i ; x. � ��- -, --- -
r- , -
' ' 39. Water Service�Final � _ , r :c , � � � � .. � - .
• 40. Gas Service-Finat %^ � � ' -- '' "•� . ' � ', �
= 41. 5olar �omesticFinaj- ' ;,j � ; - - �� � � �-
v t
42. 8ackflow Preventer u � - ` � �' " = S '. _.
43. Backflow irriga2ion ti ' � � w : - � • -
"44. I-andscape Ir'rigation System'� ` � '�'-' �. � = � ; � { c. ` �
":. d:-
-45. 5aund RTtenuation� � .` . � � � , -. Y. � c , � t� �- r
_ .. .. . _ . �. .. . ,. .
46. Handicap Regulations ''� * ' � - � � - '
� � � C T {
.47. PINALSTRUCTUR.E&BUILDING " - _
48. FINAL PLANNING' -� ' " -� , ' ' . �
49. �iectric Release to �dison , x . � �
50. Gas Retease to Southern Cafitofpta Gas Cn ', .- �' � ' ,�
- �
51. CERTIFICATE OF OCCUPANCY '" " '
No. Dace
�
��
f
�
�--- _� .
_. \
/i
�.�
at
� � �i���
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BO%9f] G09TA M63A, CALIFORNIA
For Applicant to Fill In Comple►ely
TYPE OR PRINT
BUILDIN6
AODRE55
COSTA MESA, CALIFORNIA
oWNERNorth ate Homes
MA�� _ 15939 Las Flores
CITY Fountain Valley
��TNo. 215049 No'5316792
OF LOT 97g113 � I NOW ON LOTB 0
USE OF OO
EXISTING BLDG.
6ETB/�CK LINE PflOM
cENTER oF sTREE! � REAR YARD
SID6YAR�I LEFT 5� ' I RIGHT 5�
DESCRIP.TION OF WORK
FEE RECEIUED
JAN 17 1984' I
FINANCE DEPT.o�tl
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For OHica Use Only
R6C81PT NO. I PEBML'
er
LEOAL
ZONING
NO. OF use
PLAN6 � Gllll
64
fE: NO EAYE OVERHANG SMALL BH LE55 THAN
' TO 6IDE 8 REAR P. L.
'EB
.OWED N. B. C. REQUIREMENTI
YARD3APPROVED YARDSAPPROVED
MAINBUILDING ACGESSORYBUILDING
VAR. jS
SZIEDIPo61 � NO.OP
ROOM9 SfOR1E9 2 C. U. P,
EXTERIOR WALL1. ROOF L. APPRO'
COVERING $ y�]QQQ I COVERINO B1aS 1B BY 1
USE OF BUILDIti6 AND WORK TO BE PERFORMED
sine�le fam. res. w.att. aar.
�� HEREBY /
ANO STATE
PLY WITH/
9UILDINtiC
' AUTHORIZED AGENT
�
I T�1AVE RF.�D TXIB APPLICATION
18 CpRRER AND AOREE TO COM.
BET. MAIN 8
ACCESS. BLDGB.
DATE
APPROVHD `'
_'__ I" � r �.�
�/ 6/ Sa.�.Z - 4za°d
THE �MOUNT BMOWN UNDER VALIIRTION Ie FOR THE
PUNPOSE OP HBTABLI8HIN0 A PERMIT FEE ONLY.
VALUATION y �D
PERMIT FEE S �L
^ oU
$�L. /� S O� P C E �
l O �'
TOTAL FEE $ I Q �%