HomeMy WebLinkAbout200 TULANE PL - Building Permits ott
CITY OF COSTA MESA
��� ;• P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200
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�y'.�i en,.rnm..n =Pt.
y, r4IFROM THE DEPARTMENT OF PUBLIC SERVICES/ENGINEERING DIVISION
May 20, 2004
Gary Lee Chapin
200 Tulane PL
Costa Mesa, CA 92626
SUBJECT: Parkway Maintenance along Fairview Avenue
Dear Mr. Chapin:
The City of Costa Mesa has now finished paving Fairview Road from Fair Drive to
Newport Boulevard. The next phase of construction will consist of parkway repairs
along the same segment of Fairview Road, and is tentatively scheduled to begin in late
June 2004.
There are several private wall segments within these limits that are in disrepair, some to
the point of becoming a public hazard. If your wall is in need of replacement and/or
repair, the City is recommending that you make your repairs at this time. If you choose
to replace your wall, you may either hire the City's contractor for the work or you may
choose to locate your own contractor for the wall reconstruction.
Thank you in advance for your cooperation. If you have any questions, please feel free
to contact Larry Dreiman, Engineering Technician, at (714) 754-5014.
Sincerely,
2 Oulegi
Fariba Fazeli
Senior Engineer
LD/ch •
c: William J. Morris, Director of Public Services
Ernesto Munoz, City Engineer
Tom Banks, Senior Engineer
Burt Morgan, Chief Plans Examiner
Larry Dreiman, Engineering Technician III
PHONE: (714)754-5343 FAX: (714)754-5028 TDD: (714)754-5244
www.c I.c osta-mes a.ca.us
CITY OF COSTA MESA
BUILDING DIVISION
F�` DEVELOPMENT SERVICES DEPARTMENT PE T NUMBER
Te PERMIT
M03-00416
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
te ' '
• MECHANICAL PERMIT l' `
,1
Job Address: 200 TULANE PL Status: ISSUED
Suite No Applied: 08/25/2003
, • ','Issued: 08/25/2003
Vicinity' _ j `• l
Parcel Number: 14145513 -. ; - - t ISSUED BY:
Applicant: EUGENE DLLIS- <''-2 - S . • _ -
Address: 1401 N BAXTER-ST- ,
,
7'1 ,- N ` Phone •714-752;1250 //, .�
ANAHEIM CA Zip: - 92.806
j- - ,-
•
Owner r7,CHAPIN, KATHLEEN-C.- - ���v�
Address:,(• I CHAPIN GARY LEE- - �;�� V %
DECLARATIONS ( ) fl
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
0 I have end will maintain a certificate of consent to self-Insure for workers'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 permit is issued.
orkera•cp`Bgosiallon I ante JnlV/Number are:
Crier: c/1 Pol st Numbe /70 3(J
Ion need not be completed if the permit Is valued at one hundred dollars($100)or less.)
❑ I certify that in the perfo h: • hi . c permit is Issued,I shall not employ any pe in any manner so as to become subject to the workers'
• nation laws of•= `•. ' sh.• d become subject to the workers'compensation sions of Secti 3700 of the
,,Laab�or?Code,I shall forthwith
• . . .ase pr. .�iiiii
LJ � v, J
Applicant Signature: I r Date:
-- •SECURE WO-.RS'COMPENSATI• •• RAGE IS UNLAWFUL AND SHALL SUBJECT AN ER TO IMINAL PENALTIES AND CIVIL RNES UP TOONE HUNDRED
THOUSAND DOLLARE($100,000),IN-••MON TO THE COST•I COMPENSATION,DAMAGES AS PROVIDED FOR IN SECR F THE LABOR CODE.INTEREST.AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:Hm titan dir o io (commencing with Section 7000)of • Ion es ,
Business ary�Prrof§Asionnss'Code,and my license is In full
-03
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency or the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address: r
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its 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 License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves 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 sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). •
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a 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 or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2.Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(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 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 temperature and pressure).
3 ❑Yes
r will the applicant or present or future building occupant need to prepare an RMPac
P(Risk Management and Prevention Program for utely hazardous materials)?
No
(Section 25534 of the California Health and Safety Code provides that the 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.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application a ermit for such construction or modificellon
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes D No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from thir South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If year,attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Data:
CERTIFICATE OF COMPUANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the Information given is
correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for Inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Sign:4frie1/'
"-y cF1ate
Ilt
dlOr Au6.'tr + .rt (MIe
CODE I INBPECPOH TYPE DAff. INIIlIlALE CODE! INSPECTION TYPE G mere-2
1616 Fixed System Final Fire Prevention _ 206 Final Mechanical (' `+-• dr
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof .. 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
"`'i`rCITY OF COSTA MESA
4/tr.'
BUILDING DIVISION
Y t%f_r., "`; DEVELOPMENT SERVICES DEPARTMENT P MIT NUMBER
...' - i
4. Pica PERMIT E03-00768
%softwood'
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,-CA 92626
-' ELECTRICAL PERMIT, '
•
Job Address: 200 TULANE PL Status: ISSUED
Suite No Applied: 08/25/2003 •
Vicinity: Issued: 08/25/2003
Parcel Nunmber: 141.4513e--`. 1 I it
Applicant: EUGENE DLLIS _ , - -- T _ , ISSUED BY:
Address: 1401 N BAXTER ST ''-- - -
- • - - Phone: 714-752-1250 .7
ANAHEIM,CA/ Zip: 92806 1 �A
/'.
Owner.ICHAPIN,KATHLEEN C - .- -' -- \"
"VA
Address,/;CHAPIN GARY,- i 7 LEE �' �� - � .\A:
.
/ /1/,' COSTA MES-A,-6A"." Phone: ���; , / ��
.% 200 TULANE"PL',' Zip: -92626-6467 ' j
�, - _ `
/ ';; ' ,/ / a
� ' A ,
/ "Contractor: ALASKA AIR CONDITIONING;HEATING SERVICES INC - ,.•, \`, ,
Address 140144 BAXTER ST a -
/ �
, -."„...Phone: 714-752-1250 '
' - ANAHEIM,CA (.>' ' ' - ' _ Zip: -92808 -
•
License: 812494 - - - ,
J , .
-• - SCOPE OF PERMIT __, ,__. .
` ' REPLACE<100K BTU FAU.AND'AN ac UNIT IN THE SAME LOCATIONJ: ' ' - - , ,
1 SWITCH 1 UP 10 HP: '/ '1 / . . -
�j� - o a 6
(QCT 3 GI
. ' ' • FEESUMMARY - -
./ , 4
_ Quantity - - Quantity
ISSUE FEE \ $23.50 - Temp Dist System/Lighting $0.00 0 _ '
\Temp service test 4:,. $0.00 Busway/.100.ft, __$0.00 0 Y/' ' i' -
Res\a/c package ‘`‘' i $0.00 i Standlng,Section, ' $0.00 0'�'�' / ' - ,t /
New Res'(1-2 units) " ' ' , $0.00 i 0 Misc Electrical Equipment $0.00 '0'/ b ` ,1i
New Res(3+units) ' ' t $0.00 0 -'@Transformers up to 1 kva/kw $0.00 �0'
Pool/Spa - 1 ���'' $0.00 ' 0 ' ' u to 10 kva/kw $0 00 !%0 � / /, /
p ate.,4. . a -�%�/
Lighting Fixts. VV'$0.00 ' 0 - up.to.50 kva/kw $000:.//0 ,
Recept Outlets ", \$0.00 0 ' ' ' up to 100 kva/kw $0.00"7„/ 0 �.- :a. .7 ,j/
Switches v> $1:10' !'' c 1•• '- over 100 kva/kw..- "$0.00' 0 ` - / .
Non Res AppI �."v_ - $0.00'._ , ' 0 _ - ' „ Low Voltage Equipment -`-$0.00 / '-0 �,'//
Res Appl '',I\- ` ' $0.00 ' -- 0 ' pig $0.
. ,Low Volt Wiring System/C00 - cr. -- /
•Service to 200a �� '��' $0.00, - 0 - - Misc.Conduit _ - $0.00 0 -
Service to 1000a , - ,$0.00 . 0 - 'Misc:Conductor'. $0.00 I 0 '
Service over 1000a '; , $0.00 , 0 ' - 'Circus(gen or rider r' ,"$0.00 ' �0'
• Motors to 1hp '-,'. 7 $0.00 " , ,'0.. Circus(mech ride or lights) ".
$0.00 0.-� '
Motors to 10hp �, $12.30 - • ' -1 - _ Christmas Tree.Stand i- $0.00.:%/0
Motors to 50hp 7,$0.00 '- _ 0 , - - Fireworks Stand .$0.00,-' 0
Motors to 100hp $0:00'= 0 ' ' I Other Electrical Fee ' - ,.-$0.00
Motors over 100hp $0.00" ' :0:;- - - ' > - ` ' '77i
Communication drops $0.00 ,-07 - - Investigation'Fee ----- --'" $0.00
Sub panel to 200a $0.00 0 ___" I - -Plan Check,Fee' - $0.00
Pole Light Pkg $0.00 0 - ----Reinspection Fee $0.00
•
1 " ? '
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: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under 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.
FOR INSPECTIONS CALL: (714)754-5626
244846(&00)
DECLARATIONS ` -, ' ,
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'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 permit Is issued.
rakers'�compennsAattlon�In-suran mer nQ d pglicy number are: �q /70^�Z6
r: ` re e �V//_�', Policy mber: #3
(This section need not be completed if the permit Is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance of the wo . Ich thi- •, it is issued,I shall not employ any person in any manner so as to become subject to the workers'
laws of Cali ae e subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
ApP Signatur provis.* ' - - 03
Ilcant Si natur 'Date:,
RE TO SECURE W- 'COMPENSATION••/ RACE IS UNLAWFUL AND SHALL SUBJECT AN EMPL CRIMINAL PENALTIES MD CIVIL FINES UP TO ONE HUNDRED
THOUSAND rn I ARE(Voodoo).IN ADD ON TO THE COST OF;' PENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I - -••a'Arm - I am licens:ok•n•: •r• 'si••,•t• pier 9(commencing with Section 7000)of Division 3 of the Business d Pr essi Code,and my license Is In full
f.r. - • :I:q . .1!, Class 's
on :cies Sign: ure: �drVan _-_ e: '-2.4
rat-4r y/ t
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: - Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to Its 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 License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not Intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or Improves 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 sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). '
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH UCENSED CONTRACTORS to construct the project{Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: • Date: •
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,I.e.-properly tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 hereby certify that no excavation five(5)or more feet in depth into which a 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 or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a
permit to do such work from the division.
Signature: . Date:
Division of Industrial Safety Permit Number.
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds,or a volume of 55 gallons,
_or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(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 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 temperature and pressure). -
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the 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.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this a plication apermit for such construction or modification
from the South Coast Alr Quality Management District or from any other air pollution control district or agency? C)Yes []No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No
(If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Alr Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If yes",attach Certificate of compliance from the appropriate air pollution control officer),
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the Information given Is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I a•ree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
//-wale
fSITr• •it ✓ - et8-.
,A .�j. .•y !� •• :n Date v
FADE L INSPECTION TYPE PATE INTmALS CODFf INSPECTION TYPE ' PATE IK1�►S
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final _ 208 Final Plumbing _
200 Final Re-Roof 210 Final Electrical —I_3 "'13
201 Final Block/Retaining Wall _ 212 Final Flre Prevention •
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign _ 222 Final Site •
204 Final Demolition 250 Final Building/Occupancy
•
•
•
PROJECT ADDRESS: '200TULANE PL UNIT: CITY OF COSTA MESA — ,BUILDING PERMIT PERM NO• ID 045003 .
OWNER'S NAME,CUMMINS- • ' ' . -
._ADDREss: 200 TULANE PL PERMIT NO:•
. 'IB 045003' PLAN 'CHECK NO: N • GOVT: N SUPP: ' Y
_ . CONSTRUCTION- TYPE: rtKM-
IL, TIP : • - PURPOSE; OTH
•
ARCH/ENGINEER: + t •REG.NO.: •• 'JOB DESCRIPTION REACTIVATE EXP. PERMIT -'#BPE28038 SQ FT: : r♦ ••
•
_'.;ADDRESS: .. ,LANK: _1 _
_ CLAIM VALUE: - ..'17,000 . 00. CALC—VALUE: . . 'GROUP.- OCC: R-3 ,_ '/
PERMITTEE: ANTHONY -POOLS ( 213 ) 727-0735 . '
• _ ADDRESS: - 1708 GAGE'RD ' - I COMMENTS :, ,
, MONTEBELLO. CA .90640 • . ar*+ *+ +E�rar*****+E*****+edE;'Ex**yr****�H******it*ya***** *** *****x****+e****4**�E****aE*******;•
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I ] N 'G R E Q 'U I 'R E• M E N TS
7000)of Division 3.of the Business and Professions Code,and my license is in full force and effect. • .S E T. B A C; K S • . - •
-
CITr uc.:0 0 6 0 8:; STATE uc cuss:�S 3 via / • i
Date: \ -•` .3 ' ( signature:_ _ �/v�J j / MAIN BUILDING ACCESSORY BUILDING --
WORKERS'COMPENSATIONDE RATION: I hereby affirm th ye a certificate of consent to self-insure or a certificate of Workers' FRNT: • FT IN ' REAR: : FT IN FRNT: FT' IN REAR: FT IN
Compensation Insurance,or a certified copy thereof(Section ,Lab.C). LEFT: • FT IN RGHT: - F T IN" • ,LEFT:. ,FT IN RGHT: FT IN •
PbuCYNG.:RMWC1127442 U . ATE: 07/01 /90 I
Celtilied copy is hereby furnished. Certified copy is tl with the city,Buildin Division. PARKING REQ: • PROV: ° PARCEL : 14145513 Z NE: REF NO:
cmem :NAT UNION FIRE •
'+:"r I `• ' qI - PLANNING 'NOTES`> • -
'Vg//
'Date: l \Applicant: *********************,**********************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: coon need not be completed if the permit u for one huridred(5100)or less). DEVELOIPMENT S E R, V, I C E, S R E Q U I R E• M E N T S
I certify that in the performance of the work for which this pe issued,I shall not employ any person in any manner so as to become -
subiect to the Workers'Compensation Laws of California. , - ZONING APPROVED BY - DATE: I
t -Date:- - - Signature: ' - - - - .-. _ .
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE:
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked, A - - I �'�
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED •BY. : Ilio. DATE: I ^ L�' ^
which this permit is issued(Section 3097,Civ.C). *,*.*,******************* ****************** .*********
LENDER: ****************************************************************"**************
ADDRESS: - , LEGALIZATION:N F E. E S U M M A R' Y STRUCTURAL SEGMENT: .
OWNER BUILDER DECLARATION: I hereby affirm than lam exempt from the Contractors'State License Law for the roupwing'reason •
BLDG PMT PLUMBING 'ELECTRIC MECHANIC FIRE .SNIP/RES GRADING s
(Section 7031.5 Business and Professional Code: My city o/county which requires a permit to construct;alter;improve,demolish,or PERMIT 1 • 30 . 00 ' • . -
repair 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 the Contractors'State License Law(Chapter.9(commencing with Section 7000)of Division 3 of the Business ' _ - S M I P/NON`RES _
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by _PLAN , r -
any applicant for a.permit subjects the applicant to a civil penalty o1 not more than five hundred'dollars($500). _ .ISSUE FEE • A ,
I, as owner of the property or smy employee's with' wages as.their sole compensation,"will do the work, and the BUILDING-DTV-> PERMIT ;. ;ISSUE . PLAN—CHECK •
TOTAL PAID DUE -
O structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law :TOTAL S------> ' ' 30. 00 0. 00. 0 . 00 30 .00 30 . 00 . 00 .
A. does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or.through • - . , - r I
• his or her own'employees,provided-that such improvements are not intended or offered for sale. If,however the building or - - ,
improvement is sold within one year,of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 3 0 .0 0• OVER/SHORT: .00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC .FIRE 'SMTP/TOT GRADING' PUAN-CHECK
30.. 00 ,
I,as owner of the properly,am exclusively concocting with licensed contractors to construct the project(Section 7044,Business
Li and Professions Code: The Contractors'State License Law does not apply to an owner of propertywho builds or improves thereon '
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).,l am aware ***.**.**-****.**.********.'*.*.***.**.**.***..**.***********'**4***.****************.k******k**jF
that proof of their.Worker's Compensation insurance should be provided to me. I N D I V I-- D U A L F E E B R E A, K D 0 W N '
I am exempt under Section: B.S P,C. ;• . - ' - ; , -
• for misreason: TYPE QTY , D . E S CAR -I� P T I -0 N UNIT COST TOTAL COST .
' , I
Date: ' , - Owner:
I do hereby certify that l am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and INS 1 BUILDING RE INSPECEIDN FEE 30 . 0.0 30 . 00 ,
'25534 and that I or any future building occupant wilt/will not(circle one)need to comply with said state codes and the requirements for a r _ END OF FEES
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from ' .
these provisions. ✓• '
Date: Applicant: A - I
I hereby certify that I have read this application d state that the above information is correct.I agree to comply with all city and county . . '
A
Ordinances and state laws relating to building nstruction and hereu thorize representatves o his city to'nter upon the above-mentioned - -- - .. t . . ,
properly for inspection purposyes.p , ' : .
• ,
. •
. .
. . . .
•
.. •
•
Ilir
Oates'1 1. l U _ Signature: • . L ...—e : _ _
• CL 35.47e.c?-uC04'746 te`. 3f'.n ,
Driver's License or Social•Security#r t I i
A I641-46 White—Building:Green—Code Enforcement) anal-Applicant;Pink— Ass aapr - - !. _ DATE: 11/1E/8E' TIME: i,a-,. -
Revenue;Galdenrod—
1
CONSTRUCTION AND.PLANNING; POO SPA - -
• Date Inspector Date Inspector
- APPROVALS Permit# ' `- , APPROVALS -Permit # •. -•
1. Temporary Electrical Service or Pole: - ' 52. Pool & Equipment Location . - -
,2.:Soil Pipe-Undrgrnd:- - ' . 53. Steel Reinforcement -
_
4r3cElectrical Conduitjiiility-Undrgrnd'.'= . . 54. Forms '
V _
‘--I•71:-Electrical Conduit--Uridrgrnd. -- `•_, I • 55. Electrical Bonding - -
5.••Steel Reinforcement:_ '•'` -` 56. Rough Plumbing & Pressure Test
S -f
'' 57. APPROVAL TO COVER-GUNITE
6.' Electrical UFER•Grnd. ..; .
7.'Footings . = 58. Electrical Conduit-Undrgrnd. •-��
8. Foundation59.'Gas Pipe, 0 Undrgrnd.,Test .1
9. Water Pipe-Undrgrnd. - - 60. Backwash Lines,P-Trap,O.Undrgrnd.- - • -
10. Structural Floor System 61. APPROVAL TO DECK - '
11. Property Sewer Line_& HouselConnection l - 62• . Backwash &.Receptor-Final
12. Sewer Cap ' •
63. Heater & Vent-Final -
13. Roof Drains - r 64. Plumbing System - Final , -
14. Rough Plumbing -I • - 65. Electrical-Final ' - - ,
15. Rough Electrical-Conduit 1, 66. Solar.System-Final
16. Rough Electric,Wiring677 Fencing & Access Approval .
17. Rough Wiring Sign 68.:APPROVED FOR PLASTERING - (vie
�]'.18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL (,ipl(---
19. Rough Heating &-Air Conditioning V - --FIRE-DEP_T. REQUIREMENT
. :1 �,-1- is
20.-Rough Factor, File lace -;T 'r e •t: u` m -r;
g y p .� ,; c•a: A- PPROVALS,,--,
21 Ducts,inStructurek - - -, !..72,1:: , X70. Underground_Hydro x ,
22-Ducts, Ventilating -. '� r. ' Y2, •: 1 071. Product:Piping El Gas O•Oil
23'Gas Pipe Rou h & Test - . k .`I c^ a' - • -' - -' '
_9 1-•, _i ,-; - ,72. Underground Flush
24:-Roof Framing P ". .-1r. `. -73:-Undergrnd.Storage,Tank OGas OOiI
25. Roof Sh`eathin ' '' '
;I.9 _ j �, E n',?.. 74`Overhead Hydro>...
26 ar-
T-BCeiling (Structural) &'Mono .4 coat a r, • ` Cr jz 75 5Dry Chemical , ._
27�Frame�and Flashing - - - ='' _=' 76. Dry Standpipe ^, ,_ ;t -
=28. Lathing,& Siding k zr: . •- F i .• 77. -FIXED SYSTEM.F,INALt1-' r-,
J
29. Insulation, k _ z: '` �+ 78:-.FIRE AL PREV. FIN '� -
,1 .: < it $: q. 0. ?
1 ,, ' HEALTH DEPT*REQUIREMENT
�30. Drywall_Nailing ; r I .. . ..
-31. Plaster Brown Coat" 5 ' r';" r 79. •FINAL INSPECTION '-
J32-ElectricalPower Meter'Finalr �; " I i. xI'-80=_FOOD CERTIFICATE ISSUED,..., :-i
•
:Z33:::=Final Electric.' +• 1" C I •i' "• Notes: 't ' `- - -1-n •
34`•Final Heating& Air"Con`ditiorung ;, x 4 .- s `'"
x' -
• 35i Final Gas Pipe-Testi: ; 14' * _ '-+ r--
'36.^Ho°od oCanopy 4' t--- T' - r co c- ^ Ic rit -
r �T --
'-t37.•Final Factory Fireplaces• '^N: r: - r ,:
ti t :C f. C G' _
,1
38. Fina Plumbing .. .T,- `�:> s r F; :1:
n
39. Water Service-Final, g 1: A:> + 00 t
t 1 ;: 'i •Q:---' is "- i :0 0-.1
40. Gas Service-Final r r ^_ n I: r ix: � _ , r;;
_41. Solar,DomesticFinal' a' I• 11G" ...-.1'7-. - -
. ., - 7-
42 Backflow Preventers; ,. _ •'' 'k 10 ^ 4: a
43. Backflow Irrigation. :+1. a �_ = t .v ��
''44._Landscape Irrigation System'T'. 4: Pi C. i; '• r' - ,- ' 0
`45 Sound Attenuation. • •• r ' ,x c
..
-46:•Handicap Regulations 1. Ai ." ^ `
1_,47`FINAL STRUCTURE& BUILDING i ' { Ir rc - r` - -
-. - - ._. .. r r, ,-, e
48:FINAL PLANNING ° ' - 1 -P' .4
�49TEle'ctric Release to Edison .4: I ' , j�; _
i ,
-...+ 4
X50%Ga{Release to Southern Califor'tiia Gas Co -. �!-.,..i. t • r.i •,
-51. CERTIFICATEOFIOCCUPANCY `' " � `. - - -
No. Date •
. Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
P MIT NO. • TRACT NO. LOT NO. UNIT NO. I
CITY,OF CnSTA:M)ESA ,CONSTRUCTION PERMIT /� I jaDn TI
• Prot ct Address +,Zn Tu/4 n ;rte/QO e , "2�s'�'�' rr 121//�Se' ;
•
s ./�F9, . TYPE OF CONSTRUCTION ' IHNEW u'ADD H ALTERATION ❑ REPAIR
Applicant's Mailing ALd�dress C El CONVERSION ❑ DEMOLISH LI OTHER `t1
l '3?/? , . . ., A.P.# ' =f 1- 455 - k I) ' Zone IQ\ _
Owners Name�wy�/r r1(t� '[,`tMmf �hone DESCRIPTION OF WORK/USE OF BLDG.
•
Address I-'-I Qpm) •ptl}-y� S Main Building: Accessory Building:
Arch/Eng. - License No. TYPE OF PERMIT ❑ GRADING LW F' OUNDATION R STRUCTURAL E Front '�f '
Address �I� � ❑ TENANT ❑ ELECTRICAL'❑ PLUMBING ❑ MECHANICAL B Rear 51 - N
Contractor's Name L/1/1S •_Phone (Mc ❑ OTHER -' A
C Right 151 •
G
CONSTRUCTION TYPE N VALUATION$ 5-•.0.00 S Left 5
PROJECT DESCRIPTION SO. FT.,�/ ocCupANCY
Address(mailing) V K )
- :
•
• City License No. ' I R
• LICENSED CONTRACTOR DECLARATION ZONE - GRADING CU.YDS. ACRES Ping. Ref.# P• arking Req./Provided E
•
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: • ,� G"// eATw / of f e Planning Notes: l r M
with section 7000);of Division 3 of the Business and,Professions Code, and /�(7 �r 9-b `�if[e-S-G ''•� �eey7 IAe'�10 �e`Q.ir
I 1 T
my license is in'full force and effect. S
License Class License No. ' •_ ' - _
1 ' Date ' 1 Signature • - - PLUMBING - FEES : - r
WORKERS'COMPENSATION DECLARATION - - i
Bar Sink Showers ELECTRICAL
)ES
hereby affirm that I have a certificate of consent to self-insure or,a certificate • . /" -' Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer ' Service Sink
• Automatic Washer ' - I - Transformer 0 15-50 KW
. Policy No. _ • Company • Backflow Irri anon -
9 Sewer'Cap _ Construction Pole Sub. •
0 50+KW'
Certified copy is hereby furnished. • - - '
Certified copy is filed with the city Building Division. Bathtubs - Sewer Connection - Cooking Unit _ Meter ❑up to 100 amps
Date Applicant _ _
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION• Clarifiers - Solar Collectors • - t - Dishwasher , ! Meter ❑over 100 amp '
(This section need not be completed if the permit is for one hundred ($100) or '
less). • , I Dishwasher Solar Pipin• Dryers ❑Gas -❑Electric Sub Panel
I certify that in the performance Y ork for which this permit is issued, I - - - - •
shall note ploy any person in any noel so as to become subject to the Drinking Fountains 1 Solar .nk , Fan
• workers' oTp�Sa1¢/f)Laws of r • " `_ Motors❑0 P ❑1%-8
Date/ /�Q / Signature �t,y�✓! Floor •Drains •lmming Pool w/Spa - F.A.U. - Inc.S r 09-15 HP 016-15+
NOTIC If,after maks g-this a you should becom ubject to the
Workers' Compensation provisions of tQpe/nay�rr(ode, you ust forthwith Floor Sinks Urinal • ' Fixtures ' rowave
comply with such, provisions or this �fetfrs�fl'S' fall b' emed revoked. t_
CONSTRUCTION LENDING AGENCY - Gas'Service Outlets Water Closet ,
I hereby affirm that there is a construction lending agency for the performance Devic¢Boxes POI' Light
of the work,for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater .
Lender's Name --s. • pOutlets Range
Lender's Address - - - ' Kitchen Sink . .-_ _ .Water Service -_ - Switches - Sign -' -
OWNER BUILDER DECLARATION •
I 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 - Garbage Disposal Standing Sections
county which requiYes•a permit to construct,alter,improve;demolish or repair • P-Trap ' - Laundry Trays Generator ❑ KW❑5-15 KW
any structure, prior to'its issuance, also requires the applicant for such permit - Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of �—
the tile
a ctor.'s Lice w (Chapter 9 (commencing with Section 7000) of Roe 'rains • I •
• 'vision 3`of the Business and Professions Code) that he/she'is exempt - - - - - - - -- - -I - . - .- -
refrom and the basis'for the alleged exemption. Any violation of Section •
31.5• by any applicant for a permit subjects the applicant to a civil - _� _ •
_r:9alty of not more than five hundred dollars($500).
NZ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 .
compensation,'will do the work, and the structure is not intended or offered 1 - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and 'Professional Code: The Contractor's - MECHANICAL ' FEES '
. License Law does not-apply to an owner of a property who builds or improves -
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES R IREMENTS:
employees, provided that such improvements are not intended or offered forHstSvstemDMItiPleD7 _
er Hood or Type 1 ,❑ ' .-6sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ - Zoning Approved By • -Dat¢ .\. . 0.l
pletion, the owner will have the burden of proving he/she did not build or im- t-Under Ground
' prove for the purpose of sale). - - Building'Approved By Date
•
❑ I, as owner of.the property, am exclusively contracting with licensed con- t-Structural Refrigeration System , - Application Issued By Dates^.ZS,
tractors to construct the project.(Section 7044,Business and Professions Code: v ,
The Contractor's License Law does not apply to an owner of property who • t-Ventilating , 00-100,000 0100,000 BTU SUMMARY FF FEES
builds or improves thereon, and who contracts for such projects with a con- - c-p
• tractor(s)•hcense pursuant to the Contractor's License Law). am aware thatSy 'Repair/Alteration - BUILDINGPERMIT $ • uD SMTP $ • )proof-of.their Worker's Compel . 'on insurance shoyld be provided to me. PLAN CHECK $ •r-� PEOMIT
❑ Iam exemptsundeer Section •
- . B.& P.C.for this reasonepl/Fact.Blt. ICBO PLUMBING $ ISSUANCE $ "
Date t ) /�O / Owner : -/ wI♦ai1 ting System& DuctRegisters PLAN CHECK . 25% '$ •
- ENERGY P.C. $
I hereby cetify that I have read-t iaplic. a e that the aove . -100,000 BTU ,000 BTU— GRADING $
information is correct. I agree to comp w all ci 'r• county ordinances - - ELECTRICAL S-
.
and s(aEe-L relating to building cons ti., d • eby authorize repro.' , - PLAN CHECK 50% $ - MICROFILM $ -
- Sento(wes of - . city to enter, upon the above-mentioned property for ,
inspedt •fs••s F- Dat�� /'�2 - - MECHANICAL $ TOTAL FEE $ I7:0-0 •
Signature ♦ a•-•••....."> f
CMF 0865-46,rev.10/B4 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
•
CONSTRUCTION AND'PLANNING .' _ - POOL & SPA• '
APPROVALS Permit# r Date Inspector APPROVALS Permit # _ Date Inspector
1. Temporary Electrical Serviceor Pole - 52. Pdol & Equipment Location' ..r.
2. Soil Pipe-Undrgrnd.• i"4 . _ 53. Steel Reinforcement. __ .
l
3. Electrical Conduit Utility-Undrgrnd. 54. Forms • -
•
• 4. Electrical Conduit-Undrgrnd. -55. 'Electrical Bonding -
5. Steel Reinforcement , 56.'Rough Plumbing & Pressure Test
6. Electrical UFER Gond. 57. APPROVAL TO COVER-G UNITE
•,
7. Footings . _ 58. Electrical Conduit-Undrgrnd. • "
8. Foundation - - - 59. Gas Pipe, 0 Undrgrnd.,Test:
9. Water Pie-Undr rnd." ' - '
P 9 60. Backwash Lines, P-Trap, 0Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK - •
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final; •
12. Sewer Cap . ' _ 63. Heater & Vent-Final ,
13. RoofDrains . V ; 64. Plumbing System - Final . :,
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final .
16. Rough Electric Wiring67. Fencing & Access Approval
17. Rough Wiring Sign - _ 68. APPROVED FOR PLASTERING- .
18. Rough Electrical-T Bar Ceiling , ' ._
. 69. POOL/SPA SYSTEMS FINAL -
19. Rough Heating & Air Conditiohing . FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace' APPROVALS Permit# ' '
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping ❑,Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 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 & Siding77. FIXED SYSTEM FINAL . '
29: Insulation • 78. FIRE PREV, FINAL
30. Drywall Nailing ' ' ' HEALTH DEPT. REQUIREMENT -
31. Plaster Brown Coat - , . 79. FINAL INSPECTION r
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 - . - . - '
X39. Water Service-Final
40. Gas.Service-Final - - . -
41. Solar-Domestic-Final
- 42. Backflow Preventer .
43. Backflow Irrigation , / - - •• - ,
- 44. Landscape Irrigation System . . - - • -.
'45. Sound Attenuation - -
46. Handicap Regulations • L- -. - .
47. FINAL-STRUCTURE & BUILDING -•., - 6/a1k' b4- .
48:-Special Requirements Completed �� " �� '
-49: Electric Release to Edison - •
- 3
50.1.Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY - r
No.. Date _ . , - ,
NOTE: SHOW AND DIMENSION PROPOSED "PG
ot-&, FA
PATIO COVER AND YARD AREA'.
• AP ' ROVEO
itSEE DETAILS ON REVERSE SIDE
City of Cost• Mes• = • ••ng se• '.
?W :Y �, CId 6,14E3-- 19
I2-7
THESE PLANS MUST BE 0 JOL Ij ROOF SHEATHING
M. -
_ 0 CHANGES WITH UT P •R RO` • 9 „ `"•.,;r...
OVERHANG
3 ITHE;ISSUANCE OR GRA.'TING OFA FAIT OR APPROVAL OF %•A.•%%%%%%
O
3( : ANS AriD SPECiFiCATIO•'S SHALL NO B'.CONSTRUED TO BE A ••-
_ 'RM!T MSI OR OF APPS WAI.:ODE OF, AN
OIOLr.T:ON Gf AN'?R^AF; ERS %%%%% .,
{E PROVISIONS OF THIS :ODE. NO PEI 4T PRE�'"•INGT:�Z!�iV�t �•-
UTHORiTY TO VIGLAIE )R CAb:C.��,[ PROA..I:' ��0'
nIS
•
14 ODE SHALL B`_VALID, E?-EPT IN 50 FN
•
AS
D AS THE WORK OR USE •
I H1CH IT AUTHORIZES I: LAWFU'V1 \ _X_ BEAM
II`
THE ISSUANCE OF PERMITS BA li'v UPON PLANS AND T.STRAP M. sac
LM ¢� '`' - • PECIFICATIONS SHALL ' N THE NTRE BUILDING OFFICIAL fad Por-Bf/4</ -'
4.117 Vr COS rA MESA ROM THEREAFTER BEAU •ING THE C RhCTRON OF ERRORS IN
,AID PLANS AND SPE IFICATRAIS FROM PREVENTING co/twee T/ON, O G
PLANNING DEPT. :UILDING OPERATIONS : INC CrlRIEBION THEREUNDER WHEN a F
SUBJECT TO BLDG DEP. REO. N VIOLATION OF THIS C 'DE OR C ANT,OTHER ORDINANCE OF a ct Z
E CITY. \ m y cr 1- I, 0U 4
QY Il nATk 5 zb'H7 I I FDI![CVOROP ►IANNIO r ,.---Jf m \ 6 - o cc
el '2 c— S•anci'r>7 �7 v4r " V \ Q u N o W I,r
A � DL'oP FAT/0 0 = _x _I Z O
Sw44.c_:e&Lf / / \ Rove FA .2 i ao a
/lre c v1 1 l'1 c1� d e \ [ a ' 0
QUO�//(�el rest,cffef-e t( \ . . SLOPE TO DRAIN 1 � i p�.ie i" ��� -�
to
--4�I"G25 IrQGktngJ . Cal /.6�•Q Lf T o. . o'.: .'' 'a`/... o.''. o'.:). . '11
// �i// eco .. . . . . .. ' l �.
/ iW�l S2e�r 5 def rNerH QPIOr/ , I.
_� I Lill. ''
/ ( 6.4.6.1. FLASH,N6 I. . . N 1
--1 ;°Y-17 -d/117- I�/000 v c•rJ.rr' ��_ J
GONST,HCrGT/UN PIERS 12�� S0,-'� o
a
D:
oi
STREET SIDE ELEVATION LL
PLOT PLAN CONSTRUCTION DETAILS
t = 1 - . .
• 20 ROOF CONNECTION C DsvElpPrrrr
DETAILS _N . SERVICES. DEPAR'IMENT PATIO CODER ;
WIELDING SAFETY DIVISION TYP. PLANS
CONT. SOLID BLOCK
LEDGER r .
OWNER: ' :7;,1. (64(•, C/J&6t- 44 ,6-1 DATE : _ mss--,20- & 2
ti ADDRESS:- .--,(c3 T m- PHONE: 0-15-7 - g'f)
1/2" DIA. X 5" LAG SCR. CONTRACTOR: - c/S LIC. NO. _
AT 32" 0.C. ADDRESS: - PHONE:
•
DETAIL I RAFTERS ' RAFTERS APPROVED FOR
CARPORT, PORCH OR PATIO LIGHT WEIGHT ROOF COVER OF BUILDING PERMIT
NOT SUPPORTING CEILING LATH, FIBERGLASS, ALUM.
By Date
SIZE SPACING SPAN SIZE SPACING SPAN
CR a CL "TECO" 2"x4" 12"O.C. 9'-6" 2"x4" 16"O.C. 9' -6"
GRIPS OR JOIST 16" 8' -0" 24" 8, _p,, SRNERAL NOTES:
HANGER • 24'•' 6'-6" - 32" 6'-6" 1. -These plans must be
CONT.L ....ft,
(`� - 32" ' ' ' ' - .6'' -0" ' 48" 5'-6" kept on the- job at
I�/� 48" 5' -0" 2..x6.. 16" 16'-6" all time during
2"x6" 12" 16' -6" "" 24" 14' -6" construction.
16" 14' -6" 32" 12' -0"
2. All framing to be.
24" 12' -0" 48" 10' -0"- -
__ Douglas Fir .#2
DIA. X 5" LAG SCR. grade minimum.
AT
AT 16 ' o.c. 32" 10'-6"
2"x8"
24"
19'-0"
48" 8' -0" '. 32" 15'-6" . 3.. Rafters may not
DETAIL 2 2"x8" 24" 15'-6" 48" . 13'-6" attach to facia ex-
32" 13'-6" cept for 1041 roofs
48" 11' -6" . as shown on details:
# 20# roofs must us
IO OR LIGHT WEIGHT ROOFS 4"x6" 24" 17' -0" HEADERS
ONLY CONNECTION DETAILS 32" 15'-0"36" 14'-0"
a continuous ledg.
LIGHT WEIGHT ROOF ONLY attached as shown
(2" X FACIA -MIN. REQ. 4"x8" 24" 21'-O" SIZE POST SPACING on details 411 &112.
32" 19'-O" 4x4 6'-0" 4. Light weight roofs
ii36" 18'-O" 4x6 9'-O" may attach to facia
48" 16'-0" 4x8 12'-0" for 14' span max. ,
__ �% RAFTER 4"xL0" 32� 22'_O" 4x10 15'-0" spans over 14' must
liI, 36" 21'-0" CARPORT, use a continuous
p PORCH OR PATIO
48" 20' 0" ledger as shown in
-
APPROVED METAL SIZE POST SPACING details #3
HANGER 72" 17' -0" 4x4 5'-0"
4x6 8'-0"
DETAIL 3 4x8 10'-0"
4x10 12'-6" //as--
�, ',a' t , I Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
d ,q�I�E A - 0 . £R UCTI ON PEP.,MIT.:4.4.._tosat - '4 .-" ' PEIT�gJOyD�� ?RACY NO. LOT NO. UNIT NO.
" 1UU.T[TI�IIo YCG 1
Pro1eAddDST $, WITH I Di
ZS rl • i - '
/ ' TYPE OF CONSTRUCTION LCl NEW U/ADD L i ALT r RATION LJ REPAIR ---p /� [� ^---- -
APPIIcanYs'Mailin ddr $1 ' =t)- -�L A.P.# I 1 I— sr7._ , ..
APR V V- - I`T'
pp -+� �:I'e st1 = - 17 ❑ CONVERSION. ❑ DEMOLISH ❑ OTHER `+ Y
P�- 1.:1� Zone
Owner's Nam Phone - -- - - -
200 `1'ULANr YL, r DESCRIPTION OF WORK/USE OF BLDG. •
Address *GUNITE—SWIMMING •POOL + SPA. S Main Building: fM7�1 /S Accessory Building
R.J. KOIODZIEJ • 1/ 818 UX E ff Y '1,1� 1 z
Arch/Eng! " • _•' !'l: . 1 �« -nse o, r TYPE OF PERMITrr��(( ❑ GRADINGyy---I❑-i FOUNDATION� STRUCTURAL : T- Front. �4 • - ;�( tI`t W!)<TA[•a1FS�} O
,t'r �• 90022 ❑ TENANT L'J ELECTRICAL-i'J PLUMBING IJ MECHANICAL B Rear ' II 1` {�
Address; f '-� 1 ,•. i it Si. 1 :i N
ANTHONY' IND. r 31 i i 'G.. u"=. 1
Cpntractor's Name ho q 91 111 OTHER - A i s��� - +. .
.4900 TRIGGS COMMrRC�P LA. ,0014 c' Riglt - 33 cFl 8 .. . . N
Address(mailing) r PROJECT DESCRIPTION 50. FT. OCCUPAN[.Yf.863-QQ— K G
//__//''11pp CONSTRUCTION TYPE I VALUATION$ - /� $ eft ttsy,''yy''��l--1 2� '.� -' £jrj
City•License No.
to
- , ZONE - GRADING CU.YDS. ACRES 1 R
4ICEN5ED CONTRACTOR DECLARATION LL� 7T���� }},, Ping SO.# - _�� Aar king Req./Provide E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Fol- p,L-Si s--e In S e-c ion , Planning Notes:
v ' Q
with section 7000) of Division'3 of the Business and-Professions Code, and • P - - / - - M
my license is in CM5ce and effect. P Ce $ 24 01_ 8-7.
O + T
License 1.0179 -
License- lass ' - - S
Date_ Signet . Rif. $.. �.. �-1 .k .� - PLUMBING FEES
WORKERS' COMPENSATION lir ill 111 Bar Sink r Showers ELECTRICAL • . • - FEES
I hereby affirm that have a certificate of consen . self-insure N a cErt ifi .te -
bf Workers' Compensation insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Transformer ❑ 15-50 KW . • -
3aoo, Lab. g SCEC2 399-544-A •1 A - Automatic Washer ,
I\ Policy No. Company �'l!y Backflow Irrigation - - Sewer Cap Construction Pole Sub. '050+KW .
Certified copy Is hereby�f urn ishetl. ((�� (( - • -
Date�ertifie co wiflt.jhe city B(ijltlDivisi �'�' 1 ' 7 Bathtubs _ Sewer Connection Cooking'Unit Meter ❑up to 100`amps •
.RKERS'ant Urj t/ - -
' EXEMPTION FROM WORKERS'CO the permit
DECLARATION Clarifiers Solar Collectors • • - Dishwasher Meter ❑over,-100 amps . -
less).section need not be•completed if the permit is for one hundred ($100) or '
less). Dishwasher • Solar Piping Dryers ❑Gas ❑Elecliic Sub Panel - �a
I certify that in the performance of the work for which this permit is issued, I Y • •
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank - • Fan Motors 06-1-HP{71%-8
Workers' Compensation Laws of California. . - - ,
Date • Signature • Floor-Drains Swimmin Pool w/Spa -( �/' '
-NOTICE:If,after making this declaration,you should become subject to the - g p .•/-C,C v F.A,U. - Inc.Solar❑9-15 HP ❑16-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks •
Urinal Fixture
comply with such provisions or this permit shall •be deemed revoked. +. Microwave
CONSTRUCTION LENDING AGENCY I Gas Service .I Outlets •Water Closet s De
vice Boxes : Pole Light.
I hereby affirm that there is a construction lending agency for the performance
l of the work 'for which this permit is issued (Section 3097 Civ. C.) . Interceptors Water Heater
Lender's Name
•-Lenderls Address - ' Kitchen Sink - - . Water Service -
• OWNER BUILDER DECLARATION - '-
•
I hereby affirm that I am exempt from the Contractor's License Law for the ' Lavatories Auto-Wash - Disposal
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 Generator ■s ■
5-15 KW 1 Trash'Compactor
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 ' I
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- - - - - - -
@herefrom and the basis'for the alleged exemption. Any violation of Section '
:•+:031.5 by any applicant for' a permit subjects the applicant to a civil -
^ Zia,.:. .1•
::en alty of not more than)five hundred dollars($500). . - O •
LJ I, as owner of the property or my employees with wages as their sole - Reinspection. Fee $15 Issue Fee_ $ 3 . -
-
• compensation,•will do-the work,and the structure is not intended or offered - - Reinspection Fee • ,"I $15 Issue Fee • $ 3
' for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
• License Law does not apply to an owner of a property who builds or improves __
' thereon, and who does such work himself/herself or through his or her own - - - —7—a DEVELOPMENT SERVICES REQUIREMENTS:
, employees, provided that such improvements are not intended or offered for Bailer - Hood or • Type I ❑ /1 '1
sale. If, however,the building or Improvement Is sold within one year of com- Zoning Approved By ` Date U Cr
pproving he/she : Duct- Under Ground Canopy Type.11 0 i•
love f the owner will have the burden of rovin did not build or im- �E.�/`��,
Building Approved By - Date
prove for the purpose of sale). � • _ �}�
•
' ❑-1,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By at• l/%
- tractorsto construct the p roject.(Section 7044,Business and Professions Code: - - .
The Contractor's License Law does:not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARY O EES •
builds or improves thereon, and who contracts for such projects with a'con- � MM77(1pp// .��c-
tractor(s) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ /o`4f•S SMTP .$
proof of their Worker's Com ensation:insurance.should be Exhaust System 0 Multiple 0 System Repair/Alteration • _
p provided to me: - PLAN CHECK $ •• _ PERMIT • -. -
❑ I am exempt under Section - 'B.& P.C.for this reason Firepl/Fact.Bit. ICBG 4 Fire Dampers PLUMBING •$ 0 I SS UA NCE $ -
Date. . - • ' owner' ' • Heating •System&�1D�ucting, Registers - ' PLAN CHECK 25% $ •• ENERGY- P.C. $ -
I hereby certify-that.l have read this application and state that the above �❑0-100,000 BTU �, t - GRADING $ -
• information is correct. I agree to comply with all city andcounty ordinances _ ELECTRICAL S. -
and state laws relating to building construction,and hereby authorize repre- I - MICROFILM,: $ ..
' sentatives of this city. to enter, upon he above-mentioned property f r PLAN CHECK .50% $-
inspection purpo es. MECHANICAL • $
Signature .- I. D.te I� _-- TOTAL FEE ' $ o� �P,�3
•
Drivers' License Cr SS '
Applicant; Pink -Accounting; Goldenrod - Assessor /
•
CONSTRUCTION AND PLANNING POOL&SPA
APPROVALS Permit#' Date Inspector APPROVALS Permit# itiiirl
Date Inspector
•
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 414
2. Soil Pipe-Undrgrnd. - : 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
' l
4. Electrical Conduit-Undrgrnd. 55� Electrical Bonding ' •
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE -
7. Footings C. - 58. Electrical Conduit-Undrgrnd. J7
one
8. Foundation U
59. Gas Pipe, ndrgrnd.,Test PO '
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, alindrgrnd.• p'
10.,Structural Floor System 61. APPROVAL TO DECK - 9 7494
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final r
12. Sewer Cap 63. Heater & Vent-Final •
13. Roof Drains . ' 64. Plumbing System - Final .
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 i
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. 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 & Test - ' 72. Underground Flush
24. Roof Framing .73. Undergrnd.Storage Tank 0 Gas 0 Oil ` •
25. Roof Sheathing • 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Mohocoat • . • 75. Dry Chemical
27. Frame and Flashing • - _ 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation - 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat - - 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
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 - - •
41. Solar Domestic-Final ,
42. Backflow Preventer
I
43. Backflow Irrigation - •
i.
:44. Landscape Irrigation System �
45. Sound Attenuation •
r'
46. Handicap Regulations ( ( -f _ b Gf
o.sl.
'47. FINAL STRUCTURE & BUILDING �-
48. Special Requirements Completed - ' -
. - •
49. Electric Release to Edison "'-
50. Gas Release to Southern California Gas CO • , lj
51. CERTIFICATE OF OCCUPANCY
No._ - Date - -
0 -
2W`�21IIIIL�AF�i Twining Laboratories Of cS'outitycn daLCfOVtfa, Line.
�_",I��',�I'
-- - 3310 Airport Way / Mailing Address P.O.Box 47 / Long Beach,CA 90801 / (2131 426-3355 / 1213)6382386 / (714)828-6432
TESTING BRANCH OFFICE: 1514.0 North Susan Street / Santa AnaCA 92703 / (714)554-2645
May 14 , 1987 Examination: .SC37-4601
COMPRESSION TESTS ON GUNITE CYLINDERS
Max Sitter
P.O. Box 3454
Fullerton, California 92637
PROJECT SWIMMING POOL & SPA
ADDRESS X200=Tulane PI. , Costa. Mesa'-'
ARCHITECT CONTRACTOR •
Anthony Pools Anthony Pools
ENGINEER SUBCONTRACTOR
R.J. Kolooziej Woody Douglas
SAMPLE FROM Deep end
SPECIFIED
MIX 4.2-1 STRENGTH 2,000 psi
•
DATE CAST 5-4-87 SLUMP SIZE 5-1/8" x 12k"
DATE TESTED 5-13-87
SPECIMEN NO. 1 2 & 3 "HELD IN FIELD"
COMPRESSION . 9-Day ,.
TOTAL LOAD, LBS. 70,000
POUNDS PER SO. IN. 3,400
28-DAY AVERAGE, PSI
COMPLIANCE 9-Day test complies with specified strength.
MADE BY DELIVERED BY RECEIVED ON
SPECIMENS Steve Max 5-8-87
DISTRIBUTION; -
Max Sitter - 3
este Mesa Bldg. Dept./Scott Priegel
•
Rick Hyden
ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS Al1THORIZ>TION FOR PUBLICATION OF OUR REPORTS.CONCLUSIONS.OR EXTRACTS FROM
OR REGARDING THEM 15 RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIEN TS 1,E PUBLIC AND OURSELVES.
PO _
Gunite ) Post-Te.. toned Coiicrettt ( )
REPORT OF INSPECTION ON Masonry ( ) Fireproofing • . ( )
Concrete ( ) Reinforcing Steel ( ) '
8tallts TO: Cl)`-CA enCS�
Address :
OWNER: �j'�Ylyl�nl�
PROJECT: Sort. Nc,--,) �) tt cP•� Report No.
Address: a. -mt, PL. Permit No. 13PC .R•ol&
Arch itect: Ar‘s}kj‘„ Pori$ Contractor: fisthc ,'ay P� ic
Address : / Address :
Engineer: �� , kiilnnt\ ecc3 Subcontractor: CA) y ✓ ,\�o-.
�J (Gunite) J
Address: Masonry or
Concrete)
Inspector: 0- 1, Address:
Mix Usedi-\•' (
Slump, inches:-.3
Admixture:-Car
Designed Strength, PSI :2aac,
The following inspection was performed in accardance with the approved drawings:
Cu.Yds. No. of
DATES Placed Cyls. Remarks
ci�U l6l 3a S�cel .� �J14oa-l1-1 S4cel. CCc..aaxt
c
ce iZ�Me:`ta�'..? OI{ . eo \ 1p0 pd
C14\
�L� -tee Rc ���tbTwin,� 1 P� 1
Copies of Reports to: (Indicate which Bldg. Dept. & furnish address of any not listed)
1 OWNER ARMAND, A. DATE 3-1—b7
JOB,ADDRESS 200 Tulane Road - BUILDING PERMIT NO. 267146
?? GENERAL CONTRACTOR Air Kool DESCRIPTION OF WORK Screened Patio
jt AP No.1)0.-1+55-13 LOT TRACT FIRE ZONE VALUE $ 700.00 _
jINSPECTIONS Signature Date GROUP J TYPE TV ZONE R-1 _
Soil PERMITS ISSUED
Gas SUBCONTRACTOR Date I Number I Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con.0
Sprinkling System i
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole _
Underground 0 Power ,0
Rough Wiring Heating and Vent.
Trenches O Forms 0 Steel Reinf. 0 ,44 re,nrl pe y ,t/SJ'irc!t o✓
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing /
Frame and Flashing 107
Lathing — Io ❑ Out p _
Plaster, Brown Coat
Structural, Final Electric _
Heating, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final
Building, Final �� '•• Vp
_ 28946 • MAR -1-67PAID 056 ii*****5.00
-COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
• For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
/ For Office Use Only
AD REISS 1/0 0 4 n Al C^ 7)L
RECEIPT NO. �RBRMI7�o
COSTA MESA. CALIFORNIA Ce:;
RECK VVjE^D BY -DATE RECEIVED DATE ISSUED/
OWNER gr / (/7m frN/) �- W ,¢0-/--1 7 3-/-&7
MAIL DREIN �j
ADl'(/ (/ `/ J V�.
ADDRESS SD eh L
CO [{�/ FIR[
CITY C -S ha ME-c ' - NO) • L i ZONE 1/4.5 ,/// TYPE If GROUP r
ARCHITECT / )� T APPROVED 7;9;< DATE 3-/-4 7
OR ENGINEER [, . / �/T) `'C/S Ivo
.Z /1,U ,/
t. ADDRESS I/Y ( - V `/ ZONING
•
"//J� : . '/
CONTRACTOR /Y-L /2�'+— //C)66 `7�
ADDRESS//3 3 v J . 4/(•/q-A _ DS
l/L c SCmPnON e 6 /6 JL. R1D�
5
CITY L -G4 L �. A.P.NO. /1/4-.1/56 - /a
NOTE: NO RAVE OVERHANG SHALL BE LESS THAN
STATE2 / v '-J / TSL. Er TO SID[B REAR P.L.
i LIC.NO. ! / ( NO.
EAVES
- SIZE I NO.1OONWT. / ALLOWED • (U.B.C.REQUIREMENT) _
OF LOT
YARDS APPROVED YARDS APPROVED
USE OF EXISTING BLDG. •/"::: /) MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STREET)
SETBACK LINE FROM FRONT PT. FT.
CENTER OF STREET REAR YARD n r
4. SIDE YARD LEFT I RIGHT R.SIDE FT. 025/FT.
DESCRIPTION OF WORK L.SIDE IT. a1P rr.
NEW ALTERATION ADDITI•N 40. . REAR RT. (96/ FT.
, DISTANCE SET. BET.MAIN&
" REPAIR fl MOVING DEMOLISN MAIN BLO¢A. ACCESS.BLOCS.
i' BUILDING NO.OF VAR.# DATE
SIZE ROOMS STORIES C.U.P.# - APPROVED
`' EXTERIOR WALLROOF APPROVED •
COVERING I COVERING BY _ I DATE • /The 7
USE OF BUILDING AND WORK TO BE PERFORMED 6.
/ 97
4�/ vnl .cC2 lve.) / /J 2 O
8Q.FT. g
0
I HERESY ACKNOWLEDGEB THAT I HAVE READ THIS TO OM. THE AMOUNT SHOWN UNDNGA.VALUATIONMIFOR THE
AND STATE THAT THEO ABOVE IS CORRECT AND AGREE UL COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AN TT LAWS REGULATING - VALUATION jj}�.-.-/��
BUILDING CONSTRUCTION.` PERMIT FEE $ � /V) El
E
PERMITTSI F J /�/�CO(
tO
✓ S ADD/ PUN CHECK S
AUTHORIZED AGENT at/409
� ,
-.4...14.111Y
y YO
v.,., .. TOTAL FEE
•
OWNER BRAIN, MR. & MRS. DON DATE 7-17-59
JOB ADDRESS 200 Tulane Place BUILDING PERMIT NO. 9922
GENERAL CONTRACTOR E. W. Entsminger VALUE $ 162.00
AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK block Wal _
INSPECTIONS DATE I GROUP TYPE ZONE RI
Underground Soil U.G. Water PERMITS ISSUED _
Underground Gas - SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating, Final
Plumbing Fixtures
Final Gas Test
Construction Pole
Underground Power
Rough Wiring
Trenches Forms Steel ✓( 7-36 7
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing
Frame and Flashing
Lathing, In Out
Plaster, brown coat
Plumbing Fixtures, Final
Electric Fixtures, •' al d
Building, Final ,L/ . ' "le 49-4.7.7,4/%4 /�/17,4-/
OCCUPANCY
Form 210-3M-4-59 9922
-" '"t 9922 r LE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT 7 -- 17- 599 v,.,
P.O.BOX 317 COSTA MESA.CALIFORNIA FINANCE DEPT,
%.-.,w < V . v .VOweeaa. a. .n . .y` ... .. -W
FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR' PERMIT
i TYPE OR PRINT $ BUILDING
a BUILDING4 7/ zent / � - F
d ADDRESS
,COSTA MESA. CALIFORNIAo
FOR OFFICE USE ONLY
��AA__ `/�' (� RECEIPT NO. p3138-tiFf42
OWNER/iS bpa (R'C'N) Iran��A1 e ( /fir
MAIL 117777 RECEIVER
ByDAT RECEIVVEDD(s� -'DAT,E ISSUED
ADDRESS 4-en-Cy- ti Of?‘;‘-- '�( '� !� /I I-37
/� TEL. a BUILDING
CITY 4 ,/r • NO. g ADDRESS
ARCHITECT LIC. . COSTA MESA, CALIFORNIA
OR ENGINEER . K. NO.O.
i. `
yADDRESS FIRE
ZONE TYPE GROUP
I' CONTRACTTOOR,C. sL/�J j/q/1 ��(�+`j1ry,j,,ilJy�AJC.7N�O.P 3gg3p
APPROVED DATE
ItADDRESS ( 3o(.L/J,4-4, 4k 'CPI . y' ZONING
Illaaa LEGAL LOT / ( " 955' EON / NO.OF USE OF NEW
DESCRIPTION NO. J BLOCK TRACT PLANS BVILDING DDI�.�,�t
ung A.P.NO. •
$9YPR0 "glVVV DATE��///l/�'Lv.7.�v
o SIZE IND.OF BLOCS. I YARDS EVES
4 OF LOT NOW ON LOT / e REQUIRED ALLOWED
s USE OF j���'- (CENTER LINE ST.) [
EXISTING BLDG. 7 *FRONT .,J+0 FT. IN.
' SETBACK LINE FROM
T
K CENTER OF STREET REAR YARD + R.SIDE --•" FT. IN.
6 SIDE YARD I LEFT RIGHT a L.SIDE FT. IN.
F DESCRIPTION OF WORK
REAR 0 FT.. IN.
NEW X ALTERATION I II ADDITION I
/ .
D REPAIR I II MOVING I II DEMOLISH I
P BUILDING NO.OF
0 SIZE ROOMS STORIES •
EXTERIOR WALL I ROOF
i .
. COVERING COVERING
USE OF BUILDING ANDWORK TO BE PE FORMED
kI HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION C
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE.ONLY.
BUILDING CONSCTION. r VALUATION �✓!
SIGNATURE OF
PERMITTEE rrv✓ L/ na ,u I / V JJJ °fry PERMIT FEE S
TM 0/ / V ,—
p q /�///w_ PLAN CHECK $
VOCKVISter
AV ORIZED AGENT • Q TOTAL FEES o< ��
`V 0 e at,. 0.',Dv
OWNER YALE PROPERTIES DATE 10-17-58
JOB ADDRESS 200 Tulane Road BUILDING PERMIT NO. 7812
GENERAL CONTRACTOR Dike & Colerrove VALUE $ 16,168.00 _
AP. No. LOT 15> TRACT 2965 FIRE ZONE DESCRIPTION OF WORK Sin. Res. & Gar.
GROUP l & J TYPE V ZONE p_1 PLAN NO.
rM io/Afr-•V-414w. PERMITS ISSUED
INSP CTIONS DATE SUBCONTRACTOR
. ^,,•A4 -.1#ISyor ,t DATE NUMBER
Trenches a- 1)Vorms1k) Steely (7i9- "4' Ws
Floor System LI
Steel Reinforce Chimney Re-Rod
Bond Beam t
Frame and Flashing, /V/G/Sf
Lathing, In L. Out // /
Plaster, brown coat
=z/�,j/cj'%/ hh
Underground soil /1//fs W/G Pipe- est(,.(y//% 4"8" N\
Top Out /0-2.1.-31( / rpJ\
Furnace .1-ii.' /219"t7v St/LW(' 'YhC-(..ft2 e,,, 14 —/'--3* /L' 7 9 3
Gas Vents
Rough Plumbing /WS /2. -9.3 V I6 n SL I .�. . GilT 17 1958 1_6•,x;8 .--
CesspoolSeptic Tan /
Prop. Swr. 'f'�,''/"�HousQ, on. St. Swr. 1 11%/ '� -Ai/4.�,4 (','-tnXS
/ . NUV 7 1958 15257 \
Sprinkling System t
Heating Final ii-k3-.0" _
Plumbing Fixtures, Final es-/3-,Sq
Final Gas Test/f /4745 y-/j-.0
p�
Construction Pole I
Underground Power ei
•
Rough Wiring i7 i / ,Kr .Ci -.J _ . . _.",. t 1 •G• illa •
Fixtures, Final P2 - 4, j 7C/
OCCUPANCY Ain 4'-503-5"9 I
Form 210-5M-1-57 _ 7 12
Tiv EE RECEIVED
7812
COSTA MESA BUILDING DEPARTMENT `A I�'S�
P.O. BOX 317 n,flNANCEncTDEPT.�y
COSTA MESA, CALIFORNIA CITY OF COSTA SA
FOR APPLICANT,TO FILL IN APPLICATION FOR PERMIT
ADDRESS 200 Tzlane .Road= BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. P
OWNER Yale Properties. tri", 2
MAIL RECEIVED BY DATE RECEIVED DATE ISSUED
ADDRESS 419 E. 17th St. . % /D -,46-4? OCT 1 7 195
CITY Costa Mesa, Calif. 7O1• 8-1159 BUILDING
ADDRESS
ARCHITECTCar1SOn Middlebrook LIC COSTA MESA. CALIFORNIA
OR ENGINEER NO.
FIRE
ADDRESSt,,. rrff ZONE
leCinEre
CONTRACTOR Co NO.rvs
egrove, fnO.NIO. 0/.x,1 ZONE I TYPE I GRouP��
St. TELAPPROVED
ADDRESS 419 E. 17th St. NO.. Li. 8-1159 BY ,,t: DATE
LEGAL LOT CORRECTIONS
DESCRIPTION NO. 15 BLOCK TRACT 2955
A.P.NO.
SIZE NO OF SLOGS.
OF LOT 85 x ]OT NOW ON LOT none ---
USE OF
UEXISTINGFBLDG.
SETBACK LINE FROM
CENTER OF STREET 45' -REAR YARD 291
SIDE YARD RIGHT 12_7lt LEFT 5*
DESCRIPTION OF WORK
NEW X" ALTERATION ADDITION .
REPAIR MOVING II DEMOLISH
BUILDING NO.OF
SIZE 1601 s ROOMS 6 STORIES 1
EXTERIOR WALL ROOF
COVERING Stileen COVERING (Imp. _
USE OF NEW
BUILDING
with attached garage.
Plan 750AR
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STAT .LAWS REGULATING BUILDING.CONSTRUC.
�TION. / VALUATION PERMIT FEE $ 38.00
GNATURE OF�. /��� �L�
MITTEE Y' ���F PLAN CHECK S 19.00
$ 16,168.00
TTL� Inc. TOTAL FEE S 57.00 ,e.ir
AUTHORIZED AGENTYlke & Colegrove,