HomeMy WebLinkAbout1045 WESTWARD WAY - Building Permits aooRE,smimmi : 1042 WESTWARD WY air: CITY OF COSTA MESA — BUILDING PERMIT
mn
Fionm: WESTBLUFF HOMEOWNERS ASSO 7PERM NO: B 071693
Aocnss: 1042 WESTWARD WY (�
COSTA MESA, CA Qi,/ /QS PERMIT NO: B 071693 PLAN CHECK NO: N GOVT: N SUPP: N
ADPL.ACING ADDRESS: t� CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: OTH
ARCtmer OR BfmfEER: IMMO: JOB DESCRIPTION : T/OFF ,REROOF W/TORCH—ON BUILT—UP ROOF SQ FT: 5,600 '
ARCM.OR BC.1 ADDRESS: UMT: --�
,
CLAIM VALUE: 5600 . 00 C LC=VALU 1 5, 600 .00 GROUP OCC: R-1 /
cONTRACTarSNAJtEVERGREEN ROOFING - ( 714 ) 529-7427 ) '
caaRACTonmuutiD 1175 ORANGEWOOD DR COMMENTS: ADDRESS INCLUDES042-1048. TWARD, REROOF 2500SF-4 UNIT APARTME ' '
AwREss BREA CA win, 679865 ** ***** ** -******* ****** ** -***************************y:k**.**,,***y**i�******
92621 WIT: Z ONING REQUIREMEN T S ��. -1• „ {
LICENSED CONTRACTORS DECLARATION:I hereby Nim under penally of perjury that I an berried •. provisions of Char S SETBACK S n
(oanmendrp with Section 7000)of Division 3 of the Business and Professions Code,and my Beene'.' fu Mace and Ned. :•I.
..• i (: -�i
• CITYUC.NO.:060741 UC C.
CLASS: C39 et. XP:• 865 11/95 MAIN BUILDING ACCESSORY BUILDING- '
^ : FT IN FRNT: FT IN REAR: FT IN
—� FT IN-7-1.----- FRNT:
LEFT: FT IN RGREHT: FT IN LEFT: FT IN RGHT: FT IN
DW.: 3-.30 Carwa:
OWNER BUILDER DECLARATION:I hereby tlhrm wider penally of perjury that I am exempt horn the Contractors License law for the
fdwweg reason(Section 70313 Business and Pldwws Code:My city or maty whkA mune permit to conuct.Ner.improve. PARKING REQ: PROV: PARCEL: 93523039 ZNE: REF NO: •
demoliih,or repel.any structure,pies to Is issuance,also(mums the applicant for such permit to fib a signed Menson that he or she
is licensed pursued to the provisions of the Connectors License Law]Chapter 9(commencing wih Section 7000)d Division 3 of the PLANNING NOTES> _ '
Bydnon rd Professors Code]or that he or she is exempt therefrom and the b®.for the eleged exemption.My notation of Soden . >
P331.5 by any apWimM fore permit reads the apel[ad ID a dW perYlty d td man than fee hundred dollen R500j). ******************************************************************************* '
El ended
or as owner
r«sallee(sm wrty or 4,•etsiand mges n'Code The Console tractors License Law sex nnthe mit. ot MOT„Omer re is w�rothwly D EV E -L OPMENT SER VICES REQUIREMENTS
who bold.or improves thereon,and Mo does such work Mee a herself a through his or her such
own employees,provided that s
improvements are rot intended or offered tor sale.S.howemr,the wudirg or immanent is sold wehmaa yaw d completion. ZONING APPROVED BY DATE;
owner-builder win have the burden d proving he or she de rot bald or improve for the repose d sale). _ ..—
•
d I.as owner of the properly,em exclusively contracting el.h licensed toreadors to construct the propd(Section 7044,Business end
Professions Code:The Contractors License Law dose nd apply to an owner d property Ng btdw or mnrovee thereat and Ma BUILDING AP PROVED ...
Y : DATE: •
contracts for such projects with a oontrador(s)licensed pursuant to the Contractors license law). :. r
d hem exempt under Section: B.&P.C..fatis reason: APPLICATION ISSUED BY: • S DATE: a I 3 0 (CL1 r
Mee: Owner: LEGALIZATION:N F E E SUMMARY - -STRUCTURAL SEGMENT:Y
I do hereby certify that I am aware of and undersand the rmuiremede of Callan.Health end Safety Code Sections 25503.255.33,end
25634,and that I a any More building ooapenlwill i wit not(MN one)need to complyth wsaid rate codes and the requirements for
s
a permit for mtwdicn or modificationfrom theAioca enymwu District.Residential comotinspokalia+w exemwfmm these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
r�•m• PERMIT 81 .00 • . 56
an: Appkant: SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby Mem der altd ad y perry m the lapwing dedren
ats: PLAN ..omolly
ISSUE FEE
o 1haveandwilmahtabsowWaedmroenlb""""brnkere'peperarm,arotdedbrbys.mm3Trodm.baba BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code.for the performance of the mak for which this panne is issued.
O Ihave rdwMIm.loa:tworkem.mmpemrim:tsumnes..+m,uiedbySedien3700dieLabor Code,MteMammal clthe TOTALS > 81 . 56 0 . 00 0 . 00 81 . 56 81 . 56 . 00
wait for which this permit is issued.My workers'compensation insurance center rd Airy number em: -
Carrier: REVENUE DIVISION TOTALS--> COLLECTED: 81 . 56 OVER/SHORT: . 00
Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(Mid section need net bemmpbted 1Uro paint is Mas hundred dollars IS1001r ) 81 . 00 . 56
•
0 I certify that in the performance of the work for Mich this permit is issued.I shalt .. . s any mariner eon to
become laded to the wotae'canpemrion laws d California,and op I . • .... . meedto the workers' *******************************************************************************
compensation���r/ow\aos cof Section 3700 d the Luba Code.I shag fonhwe with, • I N D I V I D U A L F E E B R E A K D O W N
Dee. 3 yl. - .. S Applicant: 'V/
•
Warning:
inrstproorohnumule addition irpwwWn,
on Coverage
IS Unlawful,
ahaff Paled employer
damcriminal
n TYPE QTY D E S C R I P T I O .N UNIT COST TOTAL COST
W
Section 3706 pay ata Latol code,Interest,and attorney's is/. SFR 5600 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 5, 600 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction wiling agency for the END OF FEES
pelfamrce of the wan M which this permit is issued(Section 3091.Civ.C).
LENDER'S NAME .
LENDER'S ADDRESS:
I certify that I have read the application and sate that the stove itamnion is coned.I agree to comply with IM dry and cony admry
and state laws relating to buWg construction and hereby rthase reser tali as doles dty to tier Way the ebove.mertsned property
Miapedsn. ..--- XP ,,, E',
J� Pet �/' - ,_5
`� 151{$x' ( A� a r; 0,-:75'0) ;-`_iCiJ7 i` T 0 T &'..5ti
Date: .�� adv — V
['ATE: 03:'. .��;. TI°:r•• .•�
Signature of• ..npAppkem•CaNretlor 'l ]
•
rc•e.JA WPI Whim-R.Min A rase.Green-Fib:Ce ono Anolcnt:Pint-Revenue:Goldenrod-Assess - .
ADDRESS OFBUILDNS: 1045 WESTWARD WY LINT: CITY OF COSTA MESA — BUILDING PERMIT
oannNAMEIFimw*JONATHAN MARSHALL FLOOD: AO-38 PERM NO: P 080974
ADDRESS: 1045 WESTWARD WAY
PERMIT NO; P 080974 PLAN CHECK NO: N GOVT: N SUPP : N
a.NalmSADORES& CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
ARCHITECT OR ENGINEER: uc.NO, JOB DESCRIPTION : C/O DISHWASHER SQ FT:
ARCA OR ENd'S ADDRESS: UMT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
camACTasgum:NOCK PLUMBING ( 714 ) 895-1246
camAclwslMIo11610 SEABOARD CIR COMMENTS ; NO OTHER WORK AUTHORIZED BY THIS PERMIT
ADO SS: STANTON CA ucjm 707775 dt♦f♦fiEiE+E+E1EiE)E♦E♦E♦loft♦EiE#1E♦Edhit♦ElEffiEf(•it♦E#1E*♦E*1k***♦f♦fdE1E**dtdtfElffE♦EfEit****♦Edt*ftiEiEff****iE*****i(-iE*****
90680 LINT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby Sfwm under penalty of perjury QW I am licensed under provisions of Chapter g SETBACKS
(.. ... .with Section 7000)of Division Sc'the Business end Professions Code,and my license is in full forte and effect
C. u• NO.:0503 j. uCCuss: C-36 UC.NO.: 777 EXP: 02/97 MAIN BUILDING ACCESSORY BUILDING
we: 'j It FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
ContfBctof: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
•
ER BUILDE'it ECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License w for the
...wing reason(Section 7031.5 Business and Professions Code:Any cryo county which requires a permit to coswct,alter,improve, PARKING REQ: P ROV: PARCEL ; 93506095 Z N E: REF NO:
!demolish.or repair any structure,prior Io 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(commenting with Sven 7000)of Division 3 el the PLANNING NOTES>
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 skied,the applicant to a civil penally of not more than five hundred dollars($500)). *******************************************************************************
13I,as owner of the properly or my employees with wages as their sole compensation,will do the work,end the structure is not intended DEVELOPMENT SERVICES REQUIREMENTS
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to en owner of property
who buids or improves thereon.and who does such wok himself or herself or through his or her own employees,provided that such
impmnnws are nal idended cofMad for salt"'h°wever•the building or inprovernent is sold withnore Yew°/oompblian,the ZONING APPROVED BYDATE:
awnerbuikler wit have the burden of proving he or she did rid pill Cf improve for the purpose of We).
❑ I,m owed of the popery,em exelumvety contracting ash'tensed canbsclas w canmud the«pied(Seth n 9044,Bwnen and
Professions Code:The Conlradon License Law does not appy to an owner of Progeny who builds o Im roves,hereon and who BUILDING APPROVED B Y DAT E
contracts for such projects with a ownedor)s)licensed pursuant to the Contractors License Law).
❑ lamexempt under Section: B.AP.C..for this reason: APPLICATION ISSUED BY: DATE: J
***************************************+� �*********************
Dale Orme,: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N
I do herby candy that I em aware of and understand the squcenants of California Health and Salary Code Sadism 25505,25533,and
25534.and that I or any Mus building occupant will I wO not(circle one)need to comply with said stale codes end the requirements for
a penin for construction o modification from the Ai nutty «eeement Dimdd.Residentialcondnwtion applications are exempt front Nese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 8 ,75
Dale: Applicant 25% SM I P/NON—RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of popery one of the following dedudiuu: ISSUE FEE 22 . 00
❑ I have and wil mainthin a caddies:a of consent lo salfiinsure for workers'compensatin es provided for w
by d
n370otheLabor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,for he pedoasnarrce of the worlo for which his permiteases. TOTALS----> 8 . 75 22 . 00 0 . 00 30 . 75 30 . 75 . 00
..P I have and will maintain won
workers'compensation insurance,as required by Section 3700 of the Labor Code,for IM performanceo
the
work for which the permit is issued.My workers'compensation insurance wrier and policy number are:
, : Carper: GOLDEN EAGLE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 30 . 75 OVER/SHORT: . 00
Policy Number NWC 371131_01 09/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed I the panni is for one hundred dollars MOO]or less) 30 . 75
Øcefthat in Ihe ped of Ihe work fo whch this permt is issued,I shall w employ any peson in any manner so es to
'oboetothe ionaweoCalifornandagree RIshouldheath*hemesubjecttoIMwwhare' *******************************************************************************
. pe INDIVIDUAL FEE BREAKDOWN
Appicantng:Failure to secure woiker.'conpesation coverage b unlawful,end shell subject an employer to criminal psi sand TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($504000A In addition to the coat of compensation,damages a.prov
Section 3105 of the Labor Code,Intens andstiomeys hes. PLU 1 DISHWASHER 8 . 75 8 . 75
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a coratrction lending agency for the END OF FEES .
performance of the work for which the panne is issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify thal I have read the application and state that the above information is caned.I agree to comply with all day end county ordinances
and state awe swig to buildkg construction and hereby authorize representatives d the city to enter upon the above-mentioned property �.
r«inepedion purposes.
NOCK ` L�� I_ )
_a' /
O ` DalL
— _e: L ATF 01 00221472-00221472 TOT 30.75
sig alar• f•- .l :. plf 1 GATE: 12/24/95 TIME: 09:44
(5151.46.WP) White-Building& Green-File;Canary-Appican;Pink-Revenue:Goldenrod-Aesem«
CONSTRUCTION AND PLANNING && 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. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUIVITE f
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 PLASTERJNG •
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 OGas OOil
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:
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
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
N.
ADDRESS OFOMLDNO: 1045 WESTWARD WY WET: _ CITY OF COSTA MESA — BUILDING PERMIT
OWNERS NAME IF gOOl: JONATHAN MARSHALLPERM NO: P 079546
ADDRESS: SAME
PERMIT NO: P 079546 PLAN CHECK NO: N GOVT: N SUPP : N
ADPL.'UMW ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU`` � PURPOSE: 0TH
ARCHITECT ORUGNEER: us.NO.: JOB DESCRIPTION : C/O W�#tR v�\SI�y\(cl$ I�CY SQ FT:
ARCH,OR ENO'S ADDRESS: WIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMACTORSNAID: NOCK PLUMBING ( 714 ) 895-1246
awnumsmwm 11610 SEABOARD CIR COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
AoeREss STANTON CA uc.NO.: 707775 *********AE***********iEr+EAERERtit***SEREBEBEREx+E*sr******AEx*BL'***RE*TL'***SERE****BEBtBEBE*****BtRERtxBE
90680 IgE: ZONING REQUIREMENTS
UC a,'ED CONTRACTORS DECLARATION:I hereby affirm wider penalty of perjury thatd I am licensed under provisions Chapter e SETBACKS
(.. e .. •with Section 7000)d Division 3 of the Business end Professions Code.and my'cense is in tun force and sited.
Try ....NO.: 050386 uC.CLAss: C-36 uc.NO.: 7 7775 EXP: 02/97 MAIN BUILDING ACCESSORY BUILDING
: FT IN
e:.e: _ contractor
�Gv,>�AaV~� FRNT: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGFT IN FRNT: FT IN HT: FT IN
OWNER BUILD ' DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the
,�J{wwio
low;w reason(Sn7031.5 Business and Professions Code:Any city county whishwi
rewires a permittoon .
ra ear,improve. PARKING REQ: PROV: PARCEL: 93523064 ZNE: REF NO:
^vanSih.or repair any structure.priortO es issuance.also requires the applicant for auN peal to file a signed storeroom that he or she PLANNING NOTES>
j`, licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)a a Division 3 the
Y'tusiness and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section >
7031.5byanyepWoent for a Mail aNpctsthe applicant to advi penalty of not mon than Dee hundred ddfanj$soop. *******************************************************************************
❑ I,as owner of the properly or my employees wkh wages w their safe corm:earthen,will do the work.and the structure I not Intended DEVELOPMENT SERVICES REQUIREMENTS
or offered for sale(Section 7044,Business end Professions Code:The Contractors License Law does not applytow Owner of property
who builds or improves thereon,end who does such work Nmssl or boreal CI through hi or her own employees,provided that such
improvements we not intended or offered for sale.D.however,the building or improvement is sold within one year of completion,the ZONING APPROVED BY DATE:
ownerboiier will have the burden of proving he or she did not build or improve for the pupae of sale).
❑ I.its owner of the properly.em exclusively contracting with licensed contractors lo COMMA It.project(Swim 7044,Boakvms and BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law does not apply to en owner of propeety who baits or knproves thereon and Ma /
contracts for and projects with a wmctor(s)licensed pursuant to the Contractors License Law), 6
❑ I am exempt under Section: B.AP.C.,for tereason: APPLICATION ISSUED BY: - DATE:
**************************************** ************************ **
Date: « LEGALIZATION:N F E E SUMMARY STRUCTURAL EGMENT:N
I do hereby candy that I am aware of and understand the requirements of California Health end Safety Code Sections 25505.25533,and
25534,and chat ler any hare baiting occupant will/wed nd(mda oa)neadamryly wlh said pate mer and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
s permit for mromction or modification from the AtQty.amgement Di rid.Residential construction spplasors we exempt horn these PERMIT 8 . 75
Provision*.
Date: Appkssa: P L
25* SMIP/NON—RES
AN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty d perry ore of the following dedaratons: ISSUE FEE 22 .00
❑ I have and MI maintain a certificate of consent to selairsare Meadow'conmertsation.ets provided for Section by ofthe Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,for z dthe Nema
pis issued. TOTALS----> 8 . 75 22 .00 0 .00 30 . 75 30 .75 .00
Lit I have and MP maintain compensationworkers'compensation insurance.m required by Section 3703 the a Lebor Code,Ir the performance of Os
!S' work 1a which this permit is Sued.My workers'an*: GOLDEN 1 policy number'ani:
EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 30 , 75 OVER/SHORT: 00
cernr:
•
Policy Number. NW- .ni1310i 09/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(Tris section need no be completed I the semi a for one hundred dollars(5100)or less) 30 . 75
wetly that in the pedermrae of the work for which this permit is issued,I dull nd employ any person Inmatmor so a to
me subject t the workers compensation lava of California. Nat'. hould become subject any to the waded *******************************************************************************
pmwan mane Section 3700 of the Labor Code,I Mall l•. t`..
s c/ so , ""isms INDIVIDUAL F E E BREAKDOWN
D 701 CL Apdiwm: aI
Warning:Fdiu rosecurs workers'compensation coverage/a unlawful,and amp/oyer to criminal sensitise and
TYP QTY D E S C R I P T I O N UNIT COST TOTAL COST
civil Rua up to one hundred thousand dollen(3104000),In addition to the coat of wnpenutlom damages as provided for In
Section 3700 of the Labor Code,Intent,and attorneys fees. PLU 1 DISHWASHER 8 . 75 8 . 75
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there e a oonatmcton lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097,Cit C).
LENDER'S NAME:
LENDER'S ADDRESS:
I candy that I hevw reed this application and date that the above information is cared.)agree to comply with N city arid county ordinances ppy��.'
and state Matag bbugdig construction and hereby authorize representatives of this MybeNr upon the abase-mentioned Drapery r,w.�..71p,
�`+�
for inspection purposes. RON NOCK 7`, ygL(II((`
0100215457-00215457 TOT 30.75
_ app DATE: 09/23/95 TIME: 10:43
-/ . a .. / Dim � 39
r . . .
a
(5t51J0.WP) White-&ntig&Safety,Green-Re;Canvey-Appicem;Pink-Rewsn;Oddruseor
pd-Asss
7.
:CONSTRUCTION AND PLAtyNING POf SPA - _
APPROVALS Permit# / ,-`"* Date Inspector APPROVALS Permit # - Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Locationo
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement . r
e
031 Electrical Condrifftility-Unetrgrt j. 54. Forms - /1
'd4 Electrical Condt}it- idrgrnd.r9 . 55. Electrical Bonding - S .
.._,r.... •.
Z-5. tn
5. Steel Reinforceen0 56. Rough Plumbing & Pressure Test X \ I a
,r. .^III c
:•'6. Electrical UFENrnd. 57. APPROVAL TO COVER-GUNITE
r 7. Footings r,^ n 58. Electrical Conduit"Undrgrnd.
S" _S
: 8. Foundation t.:7 y W 59. Gas Pipe, 0 U�tryrnd , Test 4 t
•j9. Water Pipe-Undrgrnd., 60. Backwash Lind ATrap, 0 Undrgrnd. r
10. Structural Floor 3�sterlir N` 61. APPROVAL TQPLDECK .! '
11. Property Sewer Line & Hous•�CooJnection 62. Backwash & Reveptor-Final.1
ri
12. Sewer Cap C 63. Heater & Vent-Final
13. Roof Drains n`' /•J 64. Plumbing System - Final`
14. Rough Plumbing 65. Electrical-Final
!
15. Rough Electricii-Cc f duit ,hf, -, 66. Solar System-Final r
16. Rough ElectricaVir g 67. Fencing & Acde-'Approval' . 1
17. Rough Wiring Sign '- ` 68. APPROVED FPH;PLASTERING
18. Rough Electricai-T Bar Ceiling 69. POOL/SPA S',SF€MS FINAL '7
19. Rough Heating & Air Conditioning ` ,
FIRE�, DEPT. REQUIREMENT
20.trRolrglh F•"'�actoyf Fireplace -r .' * C 1.2•••;%-. APr�(�O PIermit#-
•,• C < x. S r. ,..< C --. * .-, r ier n'6-q-at 'Th. r - .
21.32u11, ir9Str t-tu u F-7. XS * r - 19:: *
* _c * S 0 70.`I..f'Jne,�ru�jdydro «
22.'DucL, M ti ting.* • DS " X SipHIiii `., *
3 t{€P 9- OS * c <* ✓ 71. Product5'ipinq.5cGas .0 Oil
23.J^iassP9pcW-oqh &Pe'st G t R, C < H* 72. Underyr, upd Et * F
24.cEio �j Fr it 7...-!,+' ^^ * 'X 7 * C, 7 v Y
rin g, c E-r• * > O o• * s 7t"f. Undergmd.Stortxe Taro 0 Gas 0-Oil
-lx 1.
25. Ro tShe��thing O* S N * :T, LI 0 n'* S Overheid HydpH «
i-•7: 5 v f N 't
26.L.-B c Ceiling (St ural) &'V'7lprypcoat t _' o O 71* 35. Dry Chemical < i to--• a c
r-- S S • C -
C E J
27.rFrameand Flashing* v * o ^* 7a. Dry Sta ,pipeOZ" * S m N
' ' 28.cLatb�IngI: Siding,?* v. •-a Q= r g >.$ 7t}. FIXE e STt:fd;E1N Pi.v Cy Q
3 , rr ..3 : 7. C.: ▪v r - ' f P'
1 29. Insulatial t. 0 `+ •" •• > * m
vt C'* c .. ,; I 1.3.. FIRE QREV. FI L
0* S 0 * S Ti30. Drywallt ,ailing F+* * , .N (4.,..,EjFALv DEO-REQUIREMENT
4. 4, HI •
31. Plaster Shown CoQ* _.,, I I' m 752.-FIN AP�N•.PECON * 0•
• ' 32.,Electri ;Poser Ve(e/ Final I `" « N I I Ik r SA. FOOD CI TIFIrATE -cub-)
33."Fina't Ele tric 'J* ill - * ill II m rotes: Cr 171
r *C
H
I'D
c! 34.,Fin H in xC' ition F r^ I F. 5 rye n▪ * S 7
35.t inal•Gas Pipe-Tart* -C _ * I 1 ft n ms * r
36.'Holio1•-Ca nopy~'* 'd * ' m • ••n * m
N* p ' r- - * n * ' Z co * r
:n ;rye * r.
37.cfinaoFaciory Firvplaee , Sr r * r. ''-'0; Z n x m
' 38. Fina}.Plurnbing E* Qty. .. .. r cu I Et* < C rr :*
S lc Q
a ,., .c. .. I T. IX
f 39. Water Service-Final* . C. s. 1 n :.1m It G
* S * Q' I sc > 0 *
' 40. Gas Service-Final * '''' * ' pc L-N * m
• ism e[r is S t m
.r � . .:-:Cr....-
41. Solar Domestic"Fina)S ;' * c- '* z, .-4
7' .t (r r `7 V 'r * 7' C
' 42.4fackflow Preventer` t•' t'= * C gr = - * S
1. L.-r.. a ~. .• . . .NSE. .
43. Backflow Irrig :}atiorn GSS x _ ^•E- * 0 O
„''4�4. Landsc a lt�gatio*i System,,,T T c * ,7, r 0 `,y N co -,';-v « S_ N . •
a t C� DC . .. . . . Z Z - .. .
15.`Sound Httenyatione !--to.-J- ;r- * 5 H H F-> (I .•1 Cc z< t •
r C. - - -- * m rn "* r- m 4 • r..,0 *
AE16.F.tlandicatReVatioks o S * m •• •• ••* C• - r I-IL- ••I-, *
'47.114L STRE#CTUI4E & BUDDING •• * I .. b° 52 'hi `±' n
t rf r;> G' * C
48. IN31L PLANNING- * ). ;-- cC --i * Ci - '
`49._Elec,;'fic Release to Edison '.r _E `•" S
LS0.,Sas,Release to Soutern California Gas Co * 1 --�t S o` * C'
'4 'r '-! D on * J •
',51. CERTIFICATE OF*OCCUPAN$15' * _ IL, x
No Date
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
8697 II/06/C3 2005E P.
STA MESA . ITN TRACT NO. LOT NO. BLDG.NO. - - - - •
RUCTION PERMIT PERMIT „p — �,��7 •
Project Address I4 _ _ ..... • - u..)co. TYPE OF CONSTRUCTION ❑'NEW J ADD LJALTERION- LI REPAIR ' •
Applicant's Mailing Address-p �• - •
❑ CONVERSION ❑ DEMOLISH L OTHER V//Qr V3/A.J A.P.# Zone ' _ -
4✓t+/"LVA( �,'�' 1Ea• phone("cP°5 DESCRIPTION OF WORK [A. S Main Building: , - - AccessOr Building: I Z
Owner's.Name OMJQ' Loj/Q/`�(-li/O-s3 (30SK- ,N-' /I.v0 CGY-eia // P/�/ y
Address . TYPE OF PERM! LI GRADING ❑ FOUNDATION / / E - O
❑ STRUCTURAL T Front N
Arch/Eng.- _ License No. - ' ❑'TENANT, ❑ ELECTRICAL ❑.PLUMBING ❑ MECHANICAL ' B. Rear
Address' L /� e- '❑ 'OTHER - - A _ - N
1 ' kcCC .4 C Phone O - C Right - - _ G
Contractor's Name US tlM v3�'Q � PROJECT DESCRIPTION SG: FT. 2. dC7 OCCUPANCY �+� K • R
Address(mailing) IYct-•I Hopes n o- gJ Grafi_ CONSTRUCTION TYPE 'VALUATION$ �QV V l_ $ Left - E ,
ZONE GRADING CU.YDS. ACRES - •
. Q
•
` , City License No. 97J� - Ping. Ref.# Park $' - , .r U
v\ LICENSED CONTRACTOR DECLARATION Remarks:• ' . Parking Req./Provided - I-
I'hereby affirm that I am licensed under provisions of Charter 9 (commencing ,y� • R
With section 7000) of Division 3 of the Business and Professions Code, and a- 4 no, . . I Use of Building:
my license is in full f•rc' and effect.
License Class C— ``e'ce• 3 ��' PLUMBING . ' FEES Planning Notes: _
ar M
I Date — i — a Signature � �I 6/. E
Bar Sink ShowersN
ORKERS'COMPENSATION DECLARATION - T
aereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer Service Sink I S
/ .of Workers' Compensation Insurance, or-a certified'copy thereof (Section - - - - - ,
. •
/ 3800, Lab.4.) �{/o,•{/y Backflow Irrigation • Sewer Cap , - 1 : ELECTRICAL I : FEES
PyIIcY No. r�/�./ vJ Company -+ o—fa �UYJ
XI Certified copy is hereby furnished. Bathtubs Sewer Connection 'Automatic Washer Transformer 0 15-50 KW
LJ Certified copqyyyyss,,filed with the city(�'IdingCr a P�
Date /(-""---e -i Applicant v--v'^cs„�I �(/��I� Clarifiers i • Solar Collectors . Construction Pole Sub. , ❑ 50+KW
'.EXEMPTION FROM WORKERS'COMPENSATION DECLA ATION — - Dishwasher , i
(This section need not be completed if the permit is for one hundred ($100) or Solar Piping ” - -' -'- -- -- Cooking Unit "' • "- -• -Meter Duo to t00 amps -
less). - '
I certify that in the performance of the work for which this permit is issued, I Drinking Fountains Solar Tank
Dishwasher Meter Dover 100 amps '
shall not employ any person in any manner spies to become subject to the - -
Workers' Compensation Laws of California.
Date Floor Drains i Swimming Pool vv/SpaDryers ❑Gas. ❑Electric Sub Panel
Date ' Signature -
NOTICE: if,after making this declaration,you should become subject to the Floor Sinks t UrinalFan Motors 00-1 HP 01Y2-8
Workers' Compensation provisions of the'Labor Code, you must forthwith . - - -
comply with such provisions or this permit shall be deemed revoked. ' Gas Service : 'Outlets' . I
CONSTRUCTION'LENDING AGENCY' -Water Closet ,. - F.A.U.FA UInc• .Solar 09-15 HP ❑16-15+
I hereby affirm that there is a construction lending agency for the performance Interceptors ' Water Heater Fixtures Microwave
of the work for which this permit is issued;(Section 3097 Civ. C.) • - -
Lender's Name /4---3,C.-)C---
.- - - Kitchen Sink . . Water Service - - Device Boxes ' � t i l .
Lender's Address wC� • :Pole Light
OWNER BUILDER DECLARATION • - Lavatories - Outlets Range '
1 hereby affirm that I am exempt from the Contractor's License Law for the P—Trap reason (Section 7031.5 Business and Professional Code:Any city or p Switches Sign
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 Roof Drains Garbage Disposal Standing Sections
'o file d.519betl statement that he/she is licensed pursuant to the provisions of
e Contractor's License Law(Chapter 9 (commencing with Section 7000) of -
ivision 3 of the Business and Professions Code) or that he/she is exempt - — - Generator 00-5 KW 05-15 KW Trash Compactor
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). - Reinspection Fee ,$25 Issue Fee -' $ 3 ' -
D I, as owner of the property or my employees with wages as their sole • Reinspection Fee $25 Issue Fee $ 3
•
compensation, will,do the work,and the structure.is not intended or offered MECHANICAL LFEES -
for sale (Section 7044, Business and Professional Code: The Contractor's - ' '-- . . - - - - - PUBLIC SERVICES REQUIREMENTS:
License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0 • ' '
thereon, and who does such work himself/herself or through his or her own Zoning Approved By Date '
employees, provided that such improvements are not Intended or offered for • Canopy Type II ❑ _
sale. If, however, the building or Improvement is sold within one year of com- ' Duct-Under Ground Application Approved By /�7 Date
pletlon, the owner will have the burden of proving he/she did not build or im- - V /f.--,
LJrove for the purpose of sale). • Duct-Structural Refrigeration System Application Issued By Date
I, as owner of the property,am exclusively contracting with licensed con- '
tractors to construct the project (Section 7044,Business and Professions Corte: Duct-Ventilating 00-100,000 BTU ❑100,000 BTU S MARY OF FEES
The Contractor's License Law does not apply to an owner of property who
builds or improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ 0.00 SMIP $ 0.-C-10tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT
0 I am exempt under Section B.&P.C.for this reason Firepl/Fact.Bit. ICBG# PLUMBING $ ISSUANCE $
Date Owner Heating System& Ducting ' PLAN CHECK $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above -❑o-100,000 BTU ❑100,000 BTU GRADING $
information is correct. I agree to comply with all city and county ordinances • - ELECTRICAL $ -
and state laws relating building co ruction,and hereby authorize repro- MICROFILM $
sentatives of his city enter u he above-mentioned property forPLAN CHECK $
Inspection p rip es. MECHANICAL $ TOTAL FEE $ 20.50
Signature Date ���/J d—�3 •
Drivers' License or 5S# _) Reinspection Fee S25 Issue Fee $ 3 i PLAN CHECK $
CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor '
CONSTRUCTION AND PLANNING PC &SPA
APPROVALS'. Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. 5teel Reinforcement
3..Electridal 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 = 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water-Pipe-Undrgrnd.rt-� . 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 iPlumbing 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
'. 8. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
r
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 . 1 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: /t_ 7._ g3
' 34. Final Heating& Air Conditioning ^ � ^7�-
tik ' y
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
43. Backflow Irrigation - . , •
44. ,Landscape Irrigation System ' . ,
45. Sound Attenuation -
46. Handicap Regulations •
47. FINAL STRUCTURE & BUILDING •
48. Special Requirements Completed '
49. Electric Release to Edison •
50. Gas Release to Southern California Gas Co ' ' !
"
51. CERTIFICATE OF OCCUPANCY - I
No. Date ,
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Compl tely— Us Ink my
/// / {�j RECEIVED BY DATE RECEIVED DATE ISSUED
BUILDING /{ y1 ', Jvp jr 4 1�[' �y
ADDRESS b / aY�//////iii1� / `tel 'd,WN —Fill 4t, 0.2 ... ERMIT NO.
OWNER A Y 4,2,1Fdt✓crrsl
AMAIL DDRESS 4C// IV, i 5f /.w,/ BUILDING ,O ,/� / ' s _ L _ _
/�
TEL.
ADDRESS 4 tj deca no Q
CITY N/} NO.a. I -I TRACT .0 / Lt.) � : OCK
/ l
LENDERCTIONtr p NEW ADO ALTER REPAIR MOV fl..a LUSH
LENDER /\firt
BRANCH S�. -
ADDRESS 2.ts .{-Mjj/a, , j, / VALUE
VALf
ARCHITECT //, NEL. A _ SE W $
OR ENGINEER C. J '",, /J ,�/—
ADDRESS 201.3 F.yoer' 'C /I. r ZONE TYPE V GROUP
APPROVED /
CONTRACTOR olfVNG — BY DATE
—
ADDRESS rig ,s/�NO.OF USE OF NEW �/
TEL. [/ _/.�///J/I pLANS� BUILDING
CITY NO.
rf[l Ou VY 1 [��J
STATE CITY YARDS APPROVED YARDS AP OVED
LIC. NO.21$822 LIC.NO. MAIN BUILDING ACC ESSOR BUILDING
aSIZE INO.OF BLOTS. 0 (FROM C/. iF
Q. LOT S�� NOW ON LOT FRONT F FT.
Q USE OF ��//
V) EXISTING BLDG. R SIDE a !FT FT.
V)
Separate permits are required for L.SIDE ifir.T. FT.
Ci m electric,plumbing and heating work. REAR '8 T. FT. /
FL USE OF BUILDING AND WORK TO BE RFORMED DISTANCE BET. BET.MAIN& \ L
Q MAIN BLDGS. ACCESS.SLOGS.
< 6F" "YNi- /f `L VAR
DATE
CUP a-7; -/3APPROVES-/ 7-7/a> li����11 APPROVE a/OP �-0ATE-•-I-n-L �
SB4..l la FOR. SPECIAL REQUIRE
T
oI hereby acknowledge that I have read this application and state n
CC that the above Information Is correct and agree to comply with m
Alv all laws regulating building construction, and I shall not employ _
Z any person in violation of the workman's compensation laws of d
W the State of California.
I
/ 7D SQ. I`��j�
0
I hereby certify that I am properly licensed as a contractor under { ( FT. ''���`� N
the State of California Business and Professions Code, Division 3, T AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: to
am exempt from the provisions of the State of California Business a
and Professions Code,Division 3,Chapter 9. VALUATION PERMIT FEE $ n
PLAN CHECK $ m
G
Signature of ///'J�)�]
Permittee *v'J�-' $ TAX $ 2
u
U
Authorized Agent TOTAL PAID $