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HomeMy WebLinkAbout240 VIRGINIA PL - Building Permits I r . • CITY OF COSTA MESA • BUILDING DIVISION gat 0. 0.nt 1. 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)7544856 • www.ci.costa-mesa.ca.us ist•J. 1110q11 FOR INSPECTIONS CALL: (714)754-5626 4hasn "' . PERMIT NUMBER: B08-00348 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 42607216 DATE ISSUED: 12/30/2008 ISSUED BY: BJK JOB ADDRESS: 240 VIRGINIA PL CM . Suite/Unit Vicinity: Squares: 2600 - - • .Valuation: '- :$7,000.00 SCOPE OF WORK: REROOF,RESIDENCE AND ATTACHED GARAGE:T/O CEDAR SHAKE ROOF,112 OSB:SHTG, UNDERLAYMENT PER MFGR'S SPECS,APPLY"TIMBERLINE COMP SHINGLES."PITCH 6:12 2600 SQ FT OWNER: OHLHAVER,CHRIS G Address: - 240 VIRGINIA PL - • Unit: PHONE: - - .City/State/Zip: COSTA MESA,CA • APPLICANT: OHLHAVER CHRIS G Address: 240 VIRGINIA PL - Unit: : PHONE: 949.631-3514 - City/State/Zip: COSTA MESA, CA CONTRACTOR: OW NER-BUILDER - • - - • •- - License No. - -000000 Address: Unit: - - PHONE: City/State/Zip: ARCHITECT: - License•No. - PHONE:'. ENGINEER: License No. FEE SUMMARY Reroof Plan Check: $0.00 . • Reroof Permit Fee: Reinspection Fee: TOTAL FEES $139 25 ` NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order to the work authorized 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 final approval will result in the expiration of this permit. CODES. INSPECTION TYPE DATE INIIIIALS CODE/ INSPECTION TYPE DATE INTITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final �� /��j�'/�/ 208 Final Plumbing 200 Final Re-Roof 1-10 —B 11.(2.-Ct 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 1 1 . Si WORKERS'COMPENSATION DECLARATION, . • Owner ID verified by drive, _.cense. �,�Yeess 0 No //` /3 I hereby affirm under penalty of perjury one of the following declarations: DriversCicanse_No...-= Expires:-3 ( V ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property a bill or deed): compensation, as provided,for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. • • ❑ I have and will maintain workers'compensation insurance, as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: •" ,• . . permit is issued. My workers' compensation Insurance carrier and policy Cl I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This section need not be completed rf the perna is valued atone hundred dollars($/09)rr less) 2,Art 2Sec.341,Title8,California Administrative Code). Policy Number: ❑ As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant's Signature Date Division of Industrial Safety Permit Number: Applicant's Signature nate HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑ No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes 0 No Lic.# Class# _ (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely Contractor's Signature Date 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 standard CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ❑Yes IDNo (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes 0 No issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors (Section 65850.2 of the California Govefinent Code requires that the requested License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications for non-residential building permits). Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes ❑No applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code), QI, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other mpensation. WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044.Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No thereon,and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 8. (If"yes attach certificate of compliance from the appropriate air'pollution sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and,Emissions. ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH . . . .. UJCENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and State that ID I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to cupy or allow occupancy of any building g4; p /to _ ,r authorize b hits pe irrp t until i ection. rg (J / 3,0 --209S Signatue of Legal a(5)-___ Date `Signature}.. Date - I 3057-46(3/07) And/or Authonzed Applicant Date rj ' t, •_./ Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. TRACT-NO. LOT Nps UNIT NO. CITY OF COSTA�/EISA CQI�d,STnR/U�CTI o I� PERMIT 39$ tS� Z �y A.P.# 'zzone� t -Project Address /(O /v/A/(�J r7 - T ,LJ(/'J E Main Building: —+ Accessory Building: 3 • / TYPE OF CONSTRUCTION - NEW - OD ALTERATION REPAIR / Applicant's Mailin• '•dress A • • ��rJ_ uu h Owner's Name 0 Ara.//Phon•/�fll A .❑ CONVERSION ❑ DE OLISH. OTHER T . Front �' - N 0 V-LAq ` n1. • ITiceryDF oRKU FAO ' J • { A Rear y / - - Address - • (,/ y✓u (f Arch/Eng. License No. TYPE OF PERMIT GRADING FOUNDATION RUCTU RAL I'K Right �� N TENANT ❑ CTRI ❑ PLUMPING ,❑ MECHANICAL S ' Left t'/ a Address I 'O�?. 'i'UC�/O/Y - Ping. Ref.# Parkin E OTHER Contractor's Name d • - J �+ Phone 9Z/-oyt�y PROJECT DESCRIPTION SQ. F77 a 20 OCCUPANCY l • 9 Req./Pro• vided Q Address(mai ig) `12-3 It P d f I � v t y Planning Notes: / r .c.-+- f 20 tb� 11 M CONSTRUCTIONTYPE FT VALUATION 2.g Cnt.sliTIO Ccu/2� City License No. - "2-9 7$5 ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I.am licensed under provisions of Charter 9 (commencing Remarks: C Tse) s with section 7000) of Division 3 of the Business and Professions Code, and 1167 �Q6�01"��) •«(}a l✓ �K M'"�t - - my license is in full 'rue -nd/effect. R C^.1r/t!�s Y - - ELECTRICAL FEES Licen - 'lass a — — - License No. 0 / `�� ��G �Y �� Sloe '. I Z� —s Date A a• nig Signature - .i e, �� 1 Automatic Washer Transformer ❑ 15.50 KW -�l"�� PLUMBING I FEES WORKER OMPENSATION DECLARATION Construction Pole Sub. 0 50+KW Bar Sink Showers 1 hereby affirm that I have a certificate of consent to self-insure or a certificate - 1 •workers' Compensation Insurance, or a certified copy thereof (SectionCooking Unit Meter ❑up to 100 amps ), Lab. C.) Backflow Preventer Service Sink - - licy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps 8 Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection Date - Applicant Fan Motors❑0-1 HP ❑1w-B EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors '(This section need not be completed if the permit is for one hundred ($100) or • F.A.U. - Inc, lar 09-15 HP 016-15+ - • less). Dishwasher Solar Piping — i certify that in th performance of th- .• for which this pe' it i. • I - Fixtures icrowave shall not e ploy ny person in an a. er so as to beco--ubj• to Drinking Fountains • Solar Tank • Work [ Laws a Ca if• Device Boxes Date ( Signatur ���/ A � l Floor Drains Swimming Pool w/Spa Pole Light NOTIC If,of r making this declaration,you should become subject to the Outlets Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks . U nal Range comply with such provisions or this permit shall be deemed revoked. — — CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign 1 hereby affirm that there is a construction lending agency for the performance - of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Generator 00-5 KW 05-15 KW Trash Compactor . Lender's Address • Kitchen Sink . Water Service - OWNER BUILDER DECLARATION - 1 hereby affirm that I am exempt from the Contractor's License Law for the Lavatories • Auto-Wash - following reason (Section 7031.5 Business and Professional Code: Any city or - ' county which requires a permit to construct,alter,improve,demolish or repair P-Trap - Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit _ to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - • . ' - • the Contractor's License Law(Chapter 9 (commencing with Section 7000) of nivis-.. fn 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee -_ - $ 3 '.t r5 band the basis for the alleged exemption. Any violation of Section l.twf 1.5 by any applicant for a permit subjects the applicant to a civil DEVELOPMENT SERVICES REQUIREMENTS: "'ally of not more than five hundred dollars($500). U L:1 I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By - Date l' compensation, will do the work, and the structure is not intended or offered - for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By /�i, - Date��]i��Tt$ License Law'does not apply to an owner of a property who builds or improves bcation Issued By A � rie• -- Dete thereon, and who does such work himself/herself or through his or her own. ApP - employees, provided that such improvements are not intended or offered for. Boiler Hood Or Type I 0 87 sale. If, however,the building or improvement is sold within one year of com- Canopy Type II 0 - SUMMARY OF FEE'' pletion, the owner will have the burden of proving he/she did not build or im-- Duct-Under Ground UILDING PERMIT $ ' 00 SMIP $ t �� prove for the purpose of sale). _ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refri ration System LANCHECK• $ 3�s/0 •,PERMIT tractors to construct the project (Section 7044,Business and Professions Code: - The Contractor's.License Law does not apply to an,Owner of property who Duct:Ventilating -100,000 BTU ❑100,000 BTU -PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- - - D PLAN CHECK 25% $ ENERGY P.C. $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System0 Multiple 0 System Repair/Alteration y, p I R t proof of their Worker's Compensation insurance should be provided to me. i 1115pe(,t OM ELECTRICAL $ GRADING $ 0 I am exempt under Section - B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers Incomplete PLAN CHECK 50% $ - MICROFILM $ p. 1 Date Owner Heating System & Ducting • Registers ) - ECHANICAL $ 0 I hereby certify that I have read this applic. ion and state that the above 00-100,000 BTU 0100,000 BT - Sig TOTAL FEE $ �• 6o information is co • . I agree to comply :I ' and county ordinances nate �..-.fir PLAN CHECK 25% $ and state la -I. ng to building cons ct'.n and -by authoriz repre- sentative . t '- city to enter upo• ab :.'t •ned pro rty 1 inspect •n pur-- Signature i� _- /" i •� •ate(Y� . • Reinspection Fee $15 Issue Fee �( DriJers• icense or SS / _ p • _ p ?` $ 3 ' el Mi 01 0004•(1962-00040964 TOTnnAq.bG 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting: Goldenrod - Assessor DATE: 03/2-.�I'9 -TII;E: 1.0tOv5 ` CONSTRUCTION AND PLANNING POOI 'PA Date Inspector Date Inspector APPROVALS Permit# �� APPROVALS Permit# _ 1. Temporary Electrical Service or Pol52. Pool & Equipment Location - I / Yr ,.. 2. Soi�Pipe-Undrgrnd. .---- •-t0 . �� 53. Steel Reinforcement 3, Electrical CondtiiLLitility-Undrgrnd, As_ 54. Forms 4CElectiioal Conduit-Undrgrnd. 17 55. Electrical Bonding • 5,Steel Reinforcement �� 56. Rough Plumbing &-Pressure Test -6.�Electrical UFER-GrhdJ 1 4 57. APPROVAL TO COVER-GUNITE / , 7�j g f I �h / . 58. Electrical Conduit-Undrgrnd. r 8!F6unilation _1. .4 '.! - el 59. Gas Pipe, 0 Undrgrnd„Test ' - -.9. Water,Pipe-Undrgrnd.. ,, 60. Backwash Lines, P-Trap, 0 Undrgrnd. + - 10tStrucural Floor System r• - 61. APPROVAL TO DECK 't 11. Property Sewer Line& House Connection .1) 62. Backwash & Receptor-Final ',/ 'L n 12. Sewe"r Cap 1 !N' t63. Heater & Vent-Final It J h 13. Roof Drains +21,4 - ^ 64. Plumbing System - Final 14. Rough Plumbinga Pt' !n 65. Electrical-Final 15. Rough Electrical Conduit 66. Solar System-Final - L6) Rough Electric �• 67. Fencing & Access Approval ,7'- Rough.Wiring/Sign n 68. APPROVED FOR PLASTERING 18' Rough•Electrical-T Bar Ceiling' 69. POOL/SPA SYSTEMS FINAL A Il Rougheating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough'F3'ctoyFireplace /' APPROVALS Permit# nlt 1A 21. Ducts, in;Struct i ,re ''4 • ' 70. Underground Hydro ,22(- Ducts NVentilatirig v! ' 'f7) 71. Product Piping 0 Gas 0 Oil -25.- Gas -Rou Pi a h•& Test .r- / P, 9J rf- 72,/Underground Flush 24. Roof Framing ,,. /"+ ,73. Undergrnd.Storage Tank D Gas D Oil 25"'Roof Sheathing•• " 11 _ 74. Overhead Hydro u 26. T-Bar Ceiling (Structural) &1Monocoat 75. Dry Chemical f2�: Frame and Flashing 76. Dry Standpipe • /28. Lathing &Siding ;,t)' 77. FIXED SYSTEM FINAL • 29. Insulation ' --. • 78. FIRE PREY. FINAL 30. Drywall Nailing 1 L. HEALTH DEPT. REQUIREMENT T 31. Plaster Brown Coat(i ;' 0 79. FINAL INSPECTION , - . 32. Electrical Power Meter-Final; 80. FOOD CERTIFICATE ISSUED 33. Final Electric '� Notes: 34. Final Heating & Air Conditioning . -35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace - - •38. Final Plumbing • 39. Water Service-Final 40. Gas Service-Final 1• .-41. Solar Domestic-Final 42. Backflow Preventer ! i ' v '-f) 43. Backflow Irrigation ` D 44. Landscape Irrigatiori System • /,/` e 45. Sound Attenuation ,'': 46. Handicap Regulations - X P i R E D [ 47. FINAL'STRUCTURE & BUILDING 48. Special Requirements Completed Date 2 • ,`j'//SigB _-_ Y:. 49. Electric Release to Edison ;' .y%' 4- -50. Gas Release to Southern California Gas Co $ 9' j , IA C-• 51. CERTIFICATE OF OCCUPANCY r 7 im CO No. I Date : .. , C Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERM N TRACT NO." ' LOT NO. UNIT NO. • CITY OF COSTA MESASsCCONS.T/RUCTION PERMIT 99S- A.P.# Zone Project Address 2 itn \ (RCI f N 1 - !` lit S Main Building: Accessory Building: ' Applicant's Mailing Address 1�3 CUCL7� Ave. / TYPE OF CONSTRUCTION •' ❑ NEW ••LJ ADD- H ALTERATION H REPAIR E - IZ �c`s ❑ CONVERSION ❑ DEMOLISH- ❑ OTHER T Front O Owner's Name ©�inX�_L{�✓ Phoney B N Y DESCRIPTION OF WORK/USE OF BLDG. ,A Rear Address Zia \t( j 1 h i(N - • Arch/Eng. `•! License No. • TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL I K Right . N �/ G Address • ❑ TENANT .2 ELECTRICAL'❑ PLUMBING ❑ MECHANICAL • S• Left . ' L R �'C1-1� 41TeL l" � Phone<f-33-0C9.5:11 ❑ 'OTHER • I - .�-. Ping. Ref.# _ _ Parking Req./Provided Q Contractor's Name I !" Address(mailing) 1C-ft. 'Cr-.LX-4-1C2) i4UG d-LF- ADit c.( &J PROJECT DESCRIPTION SQ. F _ _ ♦ •- �ANCV po (�\ (f CONSTRUCTION TYPE UATION $ Planning Notes: M City License No. /��1 {jV ZONE GRADING CV.YDS. ACRES r ` - T - - S. LICENSED CONTRACTOR DECLARATION � (/' ',./' t''�, I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks- Yene ` r �— 1i with section 7000) of Division 3 of the Business and Professions Code, and / \ err_ ;T(Q ryt((y1�J�//�, C ELECTRICAL FEES my license is in full Same and effect. ' 51 -7 hC>& t.4) ,S/'Z 1(thet l jD� 1S(LJ License CI s C— I ._.► P—CI 6I - Date .}�2 - - � Signature � A • UMBING FEES Automatic Washer- Transformer ❑ 15-50 KW ' WORKE S' C MPENSATION DECLA-ATION Construction Pole Sub. ❑ 50+KW I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter Duo to 100 amps 0, Lab. C.) - - — iicy No. Company Backflow Irrigation Sewer Cap I Dishwasher • Meter Dover 100 amps - ' . 9Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel Certified copy is filed with the city Building Division. Bathtubs i Sewer Connection Fan _ • Date Applicant ❑1 -8 ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors II Motors ❑o-i HP ' • ' (This section need not be completed if the permit is for one hundred ($100) or F.A.U. Inc.Solar 09-15 HP 016-15+ "" • less). Dishwasher Solar Piping • I certify tha in the performance of the work//11 fLr w ich per it is issued, I - ( Fixtures • shall not e ploy ny person in any mann'r s, -s. - . .- .,,'.u: subject to the Drinking Fountains Solar Tank Microwave Workers C e id Laws of Califor Date 5i nature 1 ti Device Boxes Pole Light 9 Floor Drains Swimming Pool w/Spa g • NOTICE: f,afte making this declaration, you should become subject to the Outlets Rangep Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 3, comply •with such provisions-or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY - Switches Sign 7 Gas Service Outlets Water Closet / - I hereby affirm that there is a construction lending agency for the performance Of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections • Lender's Name , • r- Generator ❑0-5 KW ❑5-15 KW III Lender's Address Kitchen Sink Water Service t Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash I_ following reason (Section 7031.5 Business and Professional Code:'Any city or . I county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays ' any structure, prior to-its-issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains ' the Contractor's License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee ' $15 Issue Fee 4 %S $ • o_f(,;{efrom and the basis for the alleged exemption. Any violation of Section -_;:Q 1.5 by any applicant for a permit subjects the applicant to a civil • arty of not more than five hundred dollars ($500). DEVELOPMENT SERVICES REQUIREMENTS: LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By Date -- compensation, will do the work,and the structure is not intended or-offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves _ _____ __ -_____ __ _ _ _ � • •♦ s thereon, and who does such work himself/herself or through his or her own ' - Application Issued By /I= Dat: - -Y employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 - 74,7,...- sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 • SUMMARY a EES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground , - ' prove for the purpose of sale). IBUILDING PERMIT $ -SMIP $ 0 I, as.owner of the property, am exclusively contracting with licensed con- Duct-Structural • • Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044, Business and Professions Code: • a The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ,X10-100,000 BTU ❑100,000 BTU _ .I PLUMBING $ • ISSUANCE • $ builds or improves thereon. and who contracts for such oroiects with a con- ENERGY P.C. $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration • ^� - PLAN CHECK 25% $ C GRADING $ proof of their Worker's Compensation insurance should be provided to me. E X fa ( n C lJ ELECTRICAL $ t4S u ❑ I am exempt under Section - B. & P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $ Date • Owner • Heating System&Ducting Registers Incomptete IitsP ' •CO` PLAN CHECK 50% $ I hereby certify that have read this application and state that the above ❑4100,000BTU ❑100,000 BTL MECHANICAL $ TOTAL FEE $ J-7 •OV information is corre t. I agr-- to comply with all city and county ordinances • ,1 • PLAN CHECK 25% $ and state laws relati g to bu Idi-g c•nstruction, and hereby authorize repre- Jyte --_- Slsa sentatives of thi I i : _ ... .bove-mentioned pr per y for . inspection purpos:s, fib / p • Signature / Date/% R_ I �\ Reinspection $15 a O1 OOG41419 L0041429 TOT 5f, Drivers'•License or.SS$_ P Issue Fee $ 3 ....".0\C\\ /•t DATE: 02/30/35 TIME: 1.:2:1, 0865-46,rev. 5/88 white - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor \ — _- CONSTRUCTION AND PLANNING POOI 'PA - APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole i7, 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. . �• � 53. Steel Reinforcement 3. Electrical Conduit'Utility-Undrgrrid. ,1''4 54. Forms : 2 44 Electrical Conduit-Undrgrnd. 55. Electrical Bonding ` •i 5'. Steel.,Reinforcerrent ". 56. Rough Plumbing & Pressure Test - 6. ElectricahUFER'Grnd: 57. APPROVAL TO COVER-GUNITE 7'•Footings L _1 - 58 . Electrical Conduit-Undrgrnd. 8` Foundation •I - _� 59. Gas Pipe, 0 Undrgrnd., Test • V 9c Water Pipe-Undrgrnd. ._.11,« 60. Backwash Lines, P-Trap, 0 Undrgrnd.• 10.•Siructural Floor System 1 - - .61. APPROVAL TO DECK . • 11. Property Sewer Line•& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap �---r I 63. Heater & Vent-Final 13. Roof Drains T ,, 64. Plumbing System - Final Y 14. Rough Plumbing-. .., `. 65. Electrical-Final • 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval (17,. Rough Wiring Sign ''- 68. APPROVED FOR PLASTERING 'ie. Rough Electrical-T Bar Ceiling. - 69. POOL/SPA SYSTEMS FINAL 419! Rough Heating & Air Conditioning • FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace '';-- APPROVALS Permit# 21. Ducts, in Structure = 70. Underground Hydro 22. Ducts, Ventilating .- 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & T • est 72. Underground Flush 24. Roof Framing - -nI 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25.'Roof Sheathing !-, 74. Overhead Hydro 26. T-Bar Ceiling (Structural) &.Monocoat 75. Dry Chemical 27. Frame and Flashing' 76. Dry Standpipe 28. Lathing & Siding- `� ,• 77. FIXED SYSTEM FINAL • 29. Insulation r 'f_ 'i'� 78. FIRE PREY. FINAL 30. Drywall Nailingt.ti;- HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat r 79. FINAL INSPECTION • I 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED , 33. Final Electric Notes: 7.i/If Lc_p.4_ j..Jo . e6.4 34. Final Heating & Air Conditioning ;-I- \ 35. Final Gas Pipe-Test - 36. Hood or Canopy v 37. Final Factory Fireplace ` 38. Final Plumbing . 39. Water Service-Final • 40. Gas Service-Final ' 41. Solar Domestic-Final • 42. Backflow Preventer - '"•, 43. Backflow Irrigation I • 44. -Landscape Irrigation System .,/ 45. Sound Attenuation • 46. Handicap Regulations j.- r •i 47. FINAL STRUCTURE & BUILDING E X ENR E D ' 48. Special Requirements Completed Incomplete Inspections- 49. Electric Release to Edison ,arP 1=1d-4z-c- is/net,- - 50. Gas Release to Southern California Gas Co - LL /, 51. CERTIFICATE OF OCCUPANCY r' � '• i No. Date �' - m✓' :^ .1 i i\ t✓ I -OWNER FABRE CONSTRUCTION CORP. DATE 11-25-57 _ JOB ADDRESS 2h0 Vir_inia Place BUILDING PERMIT NO. 6068 GENERAL CONTRACTOR Lido Construction VALUE $ 12,304..00 AP. No. LOT 8 TRACT 321.2 FIRE ZONE DESCRIPTION OF WORK Residence w/att gar. r UP I & J TYPE V ZONE R4 PLAN NO. 6089 INaPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Trenches Forms Steel £/Fj£ /s.-7-S 7 Floor System I Steel Reinforce Chimney Re-Rod Bond Beam Frame and Flashing '/E—& /^;--,S ,j' Lathing, In Out 9 ,.-C /- P -s A Plaster, brown coot 4/5----i .a - 7're' Underground soilelor W/G Pipe Test%4'i /2-,-5-7 • Top Out /2.--y-s-, Furnace 44%/c /-2- Sfl ..2ri,pX .2'rci I t. . - - /2—/'—C7 i 2329- 4/... Gas 329- Gas Vents !I ./.'.- Rough Plumbing r-- Ae,-ce j/-2_7-,.¢7 /a,/ it' Cesspool Septic Tank 0 ` /— Prop. Swr. Line House Con;M/j St. Swr. J-2-7 s-9 LU-.2b*. L'e • J-22-4't /3/ 7r- V� Sprinkling System _ Y Renting Final /Ll&S 2-27-S8 \•,(7 J� ' ing Fixtures, Final AA mc 2-27-ct WZ}�/. - �/�{. i Gas Test / 5 44/YS L-17-ft v_, '`'/ Construction Pole /A�1 / 1 Underground Power 1 t!v ty ry� Rough Wiring f j ). -) {NA.a. 1)Qn-..2 fge. -, /2-Ro-S7 3-7T9�'Il lv t7 �} Fixtures, Final )1 1 )_2-7—S / / OCCUPANCY MFf-S s-2-7-CV / 1/ - Form 210-5M-1-57 6068 en 2 08 OSTA HU 19-57r81 r560T.. ***"115.(10 COSTA MESA BUILDING DEPARTMENT P.O.BOX 317 • COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING 240 VIRGINIA PLACE BUILDING ADDRESS • COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. PERMIT NO. OWNER FABRE CONSTRUCTION CORP. GOGR MAIL RECEIVED BY DATE RECEIVED .,DATE ISSUED ADDRESS 3404 Via Lido //_-/J 157 JJ l 5 195;' CITY Newport Bead.' TNOO OR 3-124C ADDREISNI S ARCHITECT C`IrE OEER Raymond LevanasNo OR . C. 747 COSTA MESA. CALIFORNIA ADD. FIRE 3432 Via Oporto, N. y .. ZONE/// Lido Constr. NG. 1 520 ZONE/, NO.OF TYPE GROV CITY LIC ,K` PLANS CONTRACTOR ADDRESS 3404 Via Lido TNO. OR-3-1240A ByPROVED DATE LEGALLOT CORRECTIONS DESCRIPTION NO 8. BLOCK TRACT 3242 A.P.NO. SF LOT 6300 sq.ft. NO, OF BLOCS. None NOW ON LOT USE OF 3SI C EXISTING BLDG. �J SETBACK LINE FROM — CENTER OF STREET 45' REAR YARD 17.fb sq•�t• 5' 5' SIDE YARD RIGHT LEFT DESCRIPTION OF WORK NEW X ALTERATION ADDITION REPAIR MOVING DEMOLISH SBUILDING 1400 sq.ft. ROOMS 6 STORIES 1 EXTERIOR WALL wood ROOF shake COVERING • stucco COVERING shingle • BUELDFNGEW Dwelling ,- pH, CAR 1—b I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC- j TION. /J✓L VALUATION PERMIT FEE $ I �J TURE v Y = O - PERM TTEE OF /LAC_ ,1 .I�,. I/ Uq �1PLAN CHECK 5 /S AUTHORIZED AGENT . TOTAL FEE $ /1 newt