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1274 WATSON AVE - Building Permits
r, 1 9 CITY OF COSTA MESA 4 BUILDING DIVISION Fy •,_r' i DEVELOPMENT SERVICES DEPARTMENT PER NUMBER 4 mica PERMIT 01-00065 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.usNG PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDIJob Address: 1274 WATSON AV Status: ISSUED Suite: Applied: 01/18/2001 Vicinity: HOUSE&ATTACHED GARAGE Issued: 01/18/2001 Parcel Number: 14115522 Zoning: R1 R1 Applicant: OWENS, CHARLES ISSUED BY: 4' Address: 9332 MOLOKAI DR HUNTINGTON BEACH,CA Phone: (714)963-5901 Zip: 92646 Owner: BURNEY, CHARLES E Address 1274 WATSON AVE Phone: COSTA MESA,CA Zip: 92626 Contractor: CHARLES OWENS ROOFING, INC Address: 9332 MOLOKAI DR HUNTINGTON BEACH,CA Phone: (714)963-5901 Zip: 92646 License: 789333 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE&ATTACHED GARAGE(22 SQ).TEAR OFF EXISTING ROCK ROOF, INSTALL 2-LAYERS OF 15#FELT UNDERLAYMENT,&REROOF WITH"ELK"40 YEAR COMPOSITION SHINGLES. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $3,200.00 Permit: $97.25 Claim Valuation: $3,200.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1,12-21-92) EXPIRATION: This permit shall automatically expire and become void If work is not commenced within 180 days,or if work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. /1 have and will maintain workers compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. My workers'c$ persatlon In ra ce carrier and policy number are: 7 3 n/, Carrier: Vi T \cl tf ovc 1• Policy Number: WG^ 7'- 0 en 7 '(Y6 (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) O I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Calif la, agree th 'f I sh come subject to the workers'compensation provisions of Section 3700 of t e Labor Code,I shall forthwith comply with these provi I Applicant Signature: iL.. Date: 1 E (9 O( WARNING:FAILURE TO SE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL.P NALTIES AND CML RNES UP TO ONE HUNDRED THOUSAND DOLLARE($100000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Profess•ns Code,and my license is in full force and effect.Uc.s ar Class* Contractor's Signature: /101Pillirardir _ ' Date: MIT- Ant 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(5500).): ❑ 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 end 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.). O 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. 0 Yes ❑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: O 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,faisework,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 ❑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 Califomia 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 antl Prevention Program for acutely hazardous materials)r: ❑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? ❑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 apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LI 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 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). Management _._ ._ _ _.b.._ 7 Ifa a permit athe South Coast res Qualitycri ed by District or other air pollution control 303 or agency is required for the work which Is the subject of this application,have all of the disclosures prescribed by CaliforniaCelifoHealth 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 agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature ray(s) / !Ie/O/ CODE iI INSPECTION TYPF PAIE till_. CODE( INSPECTION TYPE PLTE R(IDMLB 1616 Fixed System Final Fire Prevention . 206 Final Mechanical 1266 Pool Spa Final . 208 Final Plumbing 200 Final Re-Roof ,/-2.�—� 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 W"--/7-C/re Y I/ A'-tie v« PROJECT ADDRESS: 1274 WATSON AV UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO; M 070844 . : OWNER'S NAME: BURNEY CHARLES E // ADDRESS: 1274 WATSON AVE Z� `i PERMIT NO; M 070844 PLAN CHECK NO: N GOVT; N SUPP : N COSTA MESA,CA 926260 Crfi20 • CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE; OTH ARCH/ENGINEER: REG.NO.: \ ADDRESS: UNIT: JOIB DESCRIPTION FAU CHANGE-OUT SQ FT; CLAIM VALUE : CALC-VALUE; GROUP OCC; / PERMITTEE: KEMNITZ A/C & HEATING ( 714 ) 453-8500 ADDRESS: 188 TECHNOLOGY C COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT IRVINE CA 92718 *******+E**********************aE**********AE******,c***********+6*+P***rxar-x-*«*** -** - LICENSED CONTRACTOR DECLARATION: I hereby allirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING R EQU IR EMEN TS 7000)of Division 3 of the B siness and Professions Code,and my license is in full force and effect. p SETBACK S CI LIC.: �ZSTATELIC.:695874 G IC-2 XP; /0-95 Date' Signature:"'in) L—J� MAIN BUILDING ACCESSORY BUILDING r RICERS COMPENSATION DECLARATION: I hereby affirm that I have 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 cop thereof(Section 3800,Lab.C). LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN POLIO/No.: 11882229-94 EXP.DATE: O2/O1 /9S COMPANY:STATE FUND PARKING REQ; PROV; PARCEL ; 14115522 ZNE; REF NO; 0 Certified copy is hereby furnished. ® Certified copy is filed with the city Building Division. PLANNING NOTES> �, � ; > Date. f lay/�s Applicant: ©e— re."--'—; e ***********************************************************************.>~******* EMPTION FROM WORXERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred MOO)or less), DEVELOPMENT . S ERVIC ES R EQU IR EH EN TS I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY • • DATE; Date: Signature:uBUILDING APPROVED BY ode.NOTICE:If,after making this dpy with s,you should become i subjectmithe Workers'mrevoked. Compensation provisions of the Labor DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed rvo CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE; 0 Mil which this permit is issued(Section 3097,Civ.C) ' ***************************************.y *.*******y..K..****..y.***.*4* ** LENDER: ********************************************************************** ****• *** ADDRESS: LEGALIZATION:N FEE SUMMARY STRUCTURAL SEGMENT;N OWNER BUILDER DECLARATION: t hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC _MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 9 . 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 25% SM I P/NON-RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 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 any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE ,' 15 . 00 I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 9 , 00 15 , 00 0 . 00 24 , 00 24 , 00 • 00 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 employees,provided that such improvements are not intended or offered for sale. It,however the building or REVENUE DIVISION TOTALS--> COLLECTED; 24 , 00 OVER/SHORT; , 0O improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 24 , 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon . and who contracts for such projects with a contractor(s)license pursuant to the ContractorsState License Law).lam aware ***************************************************'**************************** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL- F E E BREAKDOWN ❑ I am exempt under Section: B. 8 P.C. for this reason: TYPE QTY DESCRIPTIO N, UNIT COST TOTAL COST Date: Owner: MEC 1 INST FORC-AIR/GRAV FURN <= 100 K BTU 9 . 00 9 , 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safely Code Sections 25505,25533,and END OF F EES 25534 and that I or any future building occupant wilUwill not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. Date. Applicant: �1�T'T� I hereby certify that I have read this application and state that the above information is correct,I agree to comply with all city and county r 7[ b/ D 4s ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned JJ ll iii i 11/LLL pro ty for inspecctionjpurposes. q L�/ rDSte I/�-T( �J Signature: .—letn 9c , DATE (� ` {b 01 x70175461-951754.61 TOT 24.00 rivers License or Social Security x: DATE: 01124/95 TIME: 10:58 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL _ SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd,: " 54. Forms • 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. 'Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. :Etectrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit•Undrgrnd. 8., Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9.'Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 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. 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 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factors' Fireplace • IAPPROVALS Permit # 21. Ducts,in Structure - . 70. Undergrbund,Hydro 22. Ducts, Ventilating I . '71. Product Piping QGas 0 Oil 23. Gas Ptpe-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 •I 27. Frame and Flashing. .. _ - --�: 76. Dry Standpipe ,.,>:�--,- 28. Lathing & Siding ' - 77. FIXED SYSTEM FINAL. ' 29. Insulation I 78.-FIRE PREV. FINAL '` 30. Drywall Nailing I ' i . HEALTHDEPT. REQUIREMENT • "� 31. Plaster Brown Coat ' - 179. FINAL INSPECTION r 32. Electrical Power Meter-Final '80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: / s�3o gs / z�,�o AA/9.04c crr� 34. Final Heating & Air Conditioning - ' ct-- '4 Aftf-lara- I 35. Final Gas Pipe.Test / • 36. Hood or Canopy • - _ ? _ ' 6f 'i9l�4ro d,V�e�.c� -t/ _'- 37. Final Factory Fireplace . 1 /-/ r' -- 38. Final Plumbing "' 39. Water Service-Final ,• 40. Gas Service-Final • . - ' 41. Solar Domestic-Final . 42. Backflow Preventer I . - 43. Backflow Irrigation 44. •Landscape Irrigation System . " 45. Sound Attenuation - , , 46. Handicap Regulations - • 47. FINAL STRUCTURE & BUILDING - 48. FINAL PLANNING ' 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY - No. Date Applicant to/ill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA,M 7// C NS U�TION�� �T PER,'2 42 6,3 J TRACT NO. LOT NO. UNIT NO. Y L( nC l CC// /YJ/ 3 A.P.# Zone Project Address - `X S Main Building: Accessory Building: �� ��'d � TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION I REPAIR Applicant's Mailingtress��1 D CONVERSION ❑ DEMOLISH El OTHER • T Front Q Owner's Name ,p r//GPS/ Phone 64284:21n DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address L m` JJ 11 A I Arch/Eng. License No. TYPE OF PERMIT U GRADING FOUNDATION U STRUCTURAL li C Right G ❑ TENANT 0 ELECTRICAL PLUMBING 0 MECHANICAL S Left R Address �j `. ���yyy���1���1���,s��� ❑ .OTHER -Ping. Ref.# Contractor's Namn . /- /� llphGonegq Parking Req./Provided Q Address(mailing) /{� (4-0 lrn,,vv PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: �1 pQ M Jo aS CON STRUCTION TYPE VALUATIONS_ RECEIVED DEC - I iJVV T City License No. ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION - I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: • with section 7000) of Division 3 of the Business and Professions Code, and my license is in fu .• and effect. �e ELECTRICAL FEES Licens• I. / ' e N. a pw Date /-1 Signature 1/. . ��� PLUMBING I FEES Automatic Washer Transformer 0 15.50 KW N. WORKERS'COMPENSATION DECLARATION - - Construction Pole Sub. • 0 50+KW I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers ^r Workers' Compensation Insurance, or a certified copy thereof (Section - Cooking Unit Meter Duo to 100 amps )0, Lab. C.) p �'A N Backflow Preventer Service Sink iicy No.'7Q��3if Fa Company sole, ? ?41/t4 Backflow Irrigation Sewer Cap Dishwasher - Meter Dover 100 amps —_ - Certified co is hereby furnished. Dryers ❑Gas Electric — Sub Panel tCer i py i filed with the city B n l ' n / Bathtubs Sewer Connection Date ApplC (SATI /L Fan Motors 00-1 HP ❑im-6 EXEMPT ON FROM WORKERS'COMP SATION DECLARATION Clarifiers Solar Collectors (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 that in the performance of the work for which this permit Is issued I Fixtures Microwave shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank - Workers' Compensation Laws of California. B I D¢VCe Boxes Date Signature Floor Drains Swimming Pool w/Spa Pole Light NOTICE:If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Switches Sign Gas Service Outlets Water Closet ( 9 I hereby affirm that there is permit lending (Section for the performance of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors ' Water Heater O Garbage Disposal ` Standing Sections Lender's Name - - - O� Lender's Address Kitchen Sink Water Service - Generator 00.5 KW 05.15 KW /Trash Compactor OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash 1 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 Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 therefrom and the basis for the alleged exemption. Any violation of Section 5.i. ,31.5 by any applicant for a permit subjects the applicant to a civil salty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: ' I I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 I.• Zoning Approved By Date fsale compensation, will 0 the work,and the stof scion is not intended TContractor's oofferrtl for nse aw dof ap ly to an and Prf a proper Code: The mroves MECHANICAL FEES'• Building Approved By Datep thereon, Law does not apply to owner if a property who builds or Improves employees, who tloes such work ove himself/herself are)f or through his or her own Application Issued By Dat sm plof, he ui such proeves are not intendedwihin or year of dc for Boiler Hood oType I 0 - - sale. 11, however, the hav building or improvement is sold within one year of nom- Canopy Type II 0 y SUMMARY OF FEES 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). BUILDING PERMIT $ SMIP $ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structu rat Refrigeration System tractors to construct the project (Section 7044,Business and professions Code: PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU PLUMBING $ for 5' ISSUANCE $ AI builds or Improves thereon.and who contracts for such oroiects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple CI System Repair/Alteration ' 1 PLAN CHECK 25% $ _ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.IL P.C.for this reason Firepl/Fact.Bit. ICBO# Fire Dampers MICROFILM $ PLAN CHECK 50% $ ,q�f� Date Owner Heating System& Ducting Registers MECHANICAL $ I hereby certify that I have read this application and state that the above ❑o-100,000 BTU 0100,000 BT TOTAL FEE $ SV tJ information is correct. I agree to comply with all city and county ordinances - PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- sentatives of his ci t• enter upo the above-mentioned property for Signatureinspeco / e, Date n Tll1 0Drivers' License or SS 00. 1676-00021676 TOT 5.00 0865-46,rev. 5/88 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 1G/i,9/38 TILE: 12:38 CONSTRUCTION AND PLANNING POOL 'A Date Inspector Date Inspector APPROVALS Permit# APPROVALS Permit# 51. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. • 55. Electrical Bonding 5.,Steel;Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE • 7. Footings 58. Electrical Conduit-Undrgrnd. , ' 8.:Foundation ' i 59. Gas Pipe, 0 Undrgrnd., Test 9.:Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10.,Stiuctural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final • 13. Roof:Drains 64. Plumbing System - Final 14. Rough Plumbing ' 65. Electrical-Final 15. Rough Elecirical-Conduit • -- '66. Solar System-Final 16. Rough Electric Wiring 67. 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 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) & Monocoat 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: /�&frasi LST Ce(zo 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 2/$�'' (-O 39. Water Service-Final "! 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer Cl- 43. Backflow Irrigation ' Al 44. Landscape Irrigation-System 45. Sound Attenuation ,.-i 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 1. 51. CERTIFICATE OF OCCUPANCY , No. Date . OWNER Col.lege Mesa CO. DATE - 9/21/55 JOB ADDRESS 1274 Watson BUILDING PERMIT NO. 18849 GENERAL CONTRACTOR Hale CO. VALUE $ 8,000.00 � 3 BLOCK TRACT 23111 • GROUP I TYPE V ZONE R11 FIRE DISTRICT #1912 PERMITS ISSUED ' . INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Footing Trench ME /z "S"SS _ Foundation Forms and Grade to Garage ,��e. . /S`2.,i — S ytF Rough Framing c /4- �•-A�4�/�g Plumbing,Rough to Slab At y /�-/q%� /2 kPlumbing, Rough Complete ***- ' -/0-4(, fir er--c, S-4/c--.2-2-.5-6 h/00 $ 4"ei Temporary Pole � �� ei Wiring, Rough �rcx.l>���i )-- 6 -a `7 iYv (itetr/. /- ? (G -s , /9 3 3 Z---- Heating,Rough / ,, Heating, Fina) /1 �(,(G /„W„s ___, �+ /d -2-rs- S /37 d Sewer, House p6 ewer,St. On( -,(--24.-4. N , U 7/ata-r5'- .0,CJP.Z ) C'_ • Septic Tank r Cesspool v ' Lathing, In ,2•pi- Out del: 6 3.,,41 -. F :ring &-4 3-1_S6 Plumbing,Final,Fixtures Completete,I (d.6 Plumbing,Final Gas Test 9 Q C, E .17-60-0 Wiring,Final 4c(. 5'-/'-f Occupancy 49.IF./g./d-<l u'.,....,0111 r_uicnni_SR Costa Mesa Building Department APPLICATION FOR PERMIT -.e? 111 EAST 20th STREET 1912 BUILDING 1 COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN Receipt No. 1 farmIt o. Building 8f Address 1274 Watson Ave., Costa Mesa, California Recei by I Date Reed. I Date I ued Nearest College St. ISEP 1. 91955 1''-21-if Cross St. Building Owner College Mesa Company Address Mailn Costa Mesa, California Address 8002 Central Ave. , Nearest Cross St. City Garden Grove No�Le.9-2158 Zone p, / I No.of I Type GroupI Architect or tic. K J. Plans Engineer Davis St Qui e1ev No. C-1790 Approved Address 98 Malgga Cove Plazza,Palos Verde by Date CORRECTIONS The Hale Company City Lia 3422 Contractor No. Address 8002 Central Ave., Garden Grove Legal I LotI Description No. 133 Block I Tract 2341 (Attach Metes and Bounds) I No.of Bldgs. Size of Lot • l I Now on Lot None o Use of I No.of I No.of Id ) A ' 1 M x Existing Bldg. Families Rooms rte- lM\ �,t t 5 Setback Line from Rear Yard Z8' ' 11 • 1 Z Center of Street 501 Side Yard 6' �—Y v✓ D DESCRIPTION OF WORK SEV 2 i 1955 r New I X I Alteration I I Addition I Repair I I Moving I I Demolish I •CIT11 VI r COSTA luusp Building No.of vv 1 Size 1260 Rooms — Stories , Exterior WallI Roof Covering Stucco Covering Rock APPROVALS Use of New Building Single family dwelling with Foundation Location Inspector Date Forms,Materials, attached garage. Under-Pinning Frame: Fire Stops, Bracing,Bolts II hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath. Int. with all City Ordinances and State Laws regulating building construction. Lath.Ext. Signature of THE HALE COMPANY Permittee Plaster, Int. Authorized Ag�t ' ', I tLj24A Q)t plaster,Ext. bILOIA LAithN1R Valuation Permit Fee $ A 0 - Masonry Reinforced' Plan Check$ $ �� � Q � _ Total y Bond Beam Fee $ �J FINAL FORM 204 S-BP 2M 6-53 C N J C d a` o SEP ?1 SSPDuesa�"o6a a • i - Street PLOT PLAN Show location and distances from property line and between buildings. • C.`.