HomeMy WebLinkAbout1070 WESTWARD LN - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
ESA PE MIT NO. TRACT NO. LOT NO. BLDG.NO. 9R-�-•F
ION PERMIT, / `76, 70 I /I /'
Project Address 0 do u-i C We u-/ea, .
OF CONSTRUCTION L NEW El ADD. L) LTERAT N LI REPAIR _
Applicant's Mailing,AddJy_ess /V` ❑ CONVERSION ❑ DEMOLISH LJ OTHER _/ A.P.# 1Zone
Owner's Name U-1`�" � T ^'�O� Phone DESCRIPTION OF WORK �'i� oNt' C 4` S-r��
6 / ��o _ 2202 //. 2.__ 2r �T s . Main Building: Accessory Building: I Z
Address r E 0
TYPE OF PERMIT MI GRADING II FOUNDATION 'A STRUCTURAL T Front N •
Arch/Eng. _ License No. - ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B I
• A Rear N
Address — / (� — ❑ !OTHER
.�(�D (,3/r33.Y( PROJECT DESCRIPTION SQ. FT. 77200 OCCUPANCY C Right - -
G
Contractor's Namp CU ^" lin-Ci Phi:Pies �.y� ^ K Left R
J CONSTRUCTION TYPE _ VALUATION$ �0 V
Address(mailing)�`fy2/ /�q�L_T [J�/7J4t-�Q-W -^fit- '�- S E
City License No. 2,997 / • ZONE GRADING CU.YDS. ACRES Ping. Ref.# Park,Fees $ G '
U
LICENSED CONTRACTOR DECLARATION Remarks: - - Parking Req./Provided I.
I hereby affirm that I am licensed under provisions of Charter 9 (commencing R
with section 7000) of Division 3 of the Business and Professions Code, and Use of Building: E
my license is in f�dt fy ce and effect.
License Class (-------) ' pose 6 9 y PLUMBING FEES Planning Notes: M
ate //-12? j Signature _ - E •
- Bar Sink - Showers N
JRKERS'COMPENSATION DECLARATION T
.iereby affirm that I have a certificate of consent to self-Insure or a certificate Backflow Preventer Service Sink S
of Workers' Compensation Insurance, or a certified copy thereof (Section -
3800, Lab. O- ,L5 -- C_L ..c .( I i..1 . Backflow Irrigation Sewer Cap ELECTRICAL FEES
Policy No. �/T✓ Yc.J Company J f d-I_'sVT'�VJ - _
In.I c •
ertified copy is hereby furnished. Bathtubs Sewer Connection Automatic Washer Transformer 0 15-50 KW
i Certified copy is filed with the city Building Division. 0 50+KW
Date Applicant Clarifiers • Solar Collectors Construction Pole Sub,
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dishwasher Solar Piping
(This section need not be completed if the permit is for one hundred ($100)or P 9 - Cooking Unit Meter ❑up4o 100 amps
less). DrinkingFountains
I shall o that in the performance the work for aswhich o this permit is Issued, I Solar Tank Dishwasher • Meter Dover 100 amps
not employompeanyiperson inf any manner so as to become subject to the
Workers' Compensation Laws California. • Floor Drains Swimming Pool w/Spa ' Dryers ❑Gas. ❑Electric Sub Panel
Date Signature - '
NOTICE: If,after making this declaration, you should become subject to the Floor Sinks Urinal Fan Motors❑0.1 HP ❑1 V-B
Workers' Compensation provisions of the LaborCode, you must forthwith - --
comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets • Water Closet'
CONSTRUCTION LENDING AGENCY- - , F.A.U. Inc.Solar❑9-15 HP ❑i6-15+
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- Kitchen Sink Water Service Device Boxes Pole Light
Lender's Address
OWNER BUILDER DECLARATION Lavatories 2 • - Outlets • Range
I hereby affirm that I am exempt from the.Contractor's License Law for the - -
following reason (Section 7031.5 Business and Professional Code:Any city or P-Trap - f 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
file a signed statement that he/she is licensed pursuant to the provisions of
e Contractor's License Law(Chapter 9 (commencing with Section 7000)of Generator ❑0.5 KW❑5.15 KW '
vision 3 of the Business and Professions Code) or that he/she is exempt 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 Reinspection Fee I 3 , '
penalty of not more than five hundred dollars ($500). pe $25. Issue Fee $
o 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 I FEES - -
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 buildingor improvement is sold within oneyear of corn- , Duct-Under Ground
d Application Approved By - Date
pletion, the owner se have the burden of proving he/she did not build or im- n
pprove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By Nv HI, Date//1/445/fr a
O I,as owner of the property, am exclusively contracting with licensed con- ❑0.100,000 BTU ❑100,000 BTU
tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating SUMMARY OF FEES
The Contractor's License Law does not apply to an owner of property who - • o
builds or improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration • - BUILDING PERMIT $ .t 0../t SMIP $ ,3-0
tractors) license pursuant to the Contractor's License Law). - - PLAN CHECK $ PERMIT
CI-Pam 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 ❑0.100,000 BTU 0100,000 BTU GRADING $
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ .
and state laws relating.to building construe ion,and hereby authorize repre- PLAN CHECK $ MICROFILM $
sentatives ofis city t ter u above-mentioned property for - - ]
inspection pile-s. /(-1�---83 MECHANICAL $ TOTAL FEE $ •••2-0.-S-
...._. CJ
Signature
License or.55
CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor ..
CONSTRUCTION AND PLANNING P` .&SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3: Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 1 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. 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 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 �J_
33. Final Electric Notes: .,V4,/$3 X ^i~` /J�,/
V e-L-44,
34. Final Heating & Air Conditioning ---" / Z' y,.ce--rf-lit '
35. Final Gas Pipe-Test VA�
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. Backf low 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
No Date
•
ss
ADDRESS OF(AIDING: 1070 WESTWARD LN WMT' CITY OFICOSTA MESA - BUILDING PERMIT
0NNERS MALE:KNOWN: WESTBLUFF HOMEOWNERS ASSO PERM NO: B 076827
Adsh93: 111 PACIFIC #250
IRVINE CA 92714 PERMIT NO: B 076827 PLAN CHECK NO: N GOVT: N SUPP : N
727-26A0
APPL.I&AIUNG AGGRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH
• ARCHITECT ORENaNEER: LIG NO.: JOB DESCRIPTION : T/OFF & REROOF W/BUILT-UP SQ FT: 6, 800
ARMOR ENG.'S ADDRESS: WIT:
CLAIM VALUE: 6, 800 .00 CALL-VALUE: 6, 800 . 00 GROUP OCC: R-1 /
CONTRACTOR'S NAME: R.P. HIRSCHMAN ( 714 ) 960-8329 n-) 4,-...----=,, �.
CONTRACTORS MAILING 8855 ATLANTA COMMENTS : REROOF 5UNIT CONDO, ADDRESS INCLUDES 1'072-1074-1 -1078)WESTWARD
ADDRESS: HUNTINGTON BEACH CA mC.NO.: 475948 + *+l'*********'*******+E*�E*+EAE�E�E*N-*+e***x'�pN'AEiE****x'�p+eit=iE****+FTPx'�p*'Tt'Tp'* ' -+a**+E********x**Et
92646 tem 285 Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:1 hereby allnn under penalty of penury that I am licensed under provisions of Chapter S SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code.and my license Is in full torn end effect.
CRT UC,NO.: 038468 UC.CS: C3j 47348 EXP: 04 /96 MAIN BUILDING ACCESSORY BUILDING
�� FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dale:egel ..g."--1°h—Slp Contract LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
'sWNER BUILDER DECLARATION:I hereby affirm under penal),of perjury that I am exempt from the Contractors License Law for the
wring reason(Sedicn7031.5 Business and Professions Code:Any ayrcounty with requires apermit loconwa.alter.improve. PARKING REQ: PROV: PARCEL: 93523015 ZNE: REF NO:
ndish,or repair any structure,prior tom issuance.also requires the applicant for such permit to file a signed statement that he or she
.licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commons with Section 7000)of DNeon 3 of the PLANNING NOTES> _
Business d Professions Coded or or the heshe 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 toe civil penalty of not more than live hundred dollen MOOD. *******************************************************************************
❑ I,as owner of the property or my employees with wages as then ode compensation,will do the work,and the structure Is not intended D E V E:, L OPMENT SERVICES R E Q U I R E M E N T S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an Owner of property
who bolds or improves thereon.and who dna such work Nmset or herself or through he or her own employees,provided that such
improvements we not intended or offered for sale.If.however,the building or improvement is sold within one year d complefm,the ZONING APPROVED BY DATE:
r
ownbuilder will have the burden d awing he or she did net build or improve for the purpose of sale).
❑ I,as owner of the property,em exdueively oontradig with licensed contractors to construct the project(Section 7044.Business and /
Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who BUILDING AP P RO V D BY : DATE:
contracts for'Ludt projects with a contractor(s)licensed pursuant to the Contractors License Law). ("1 (1,
❑ Iamexempt underSection: B.8 P.C..for this reason: APPLICATION ISSUED BY: DATE: '✓1 Ct 1t.i0
Date: Owner: ******************************************** * ******************************
LEGALIZATION:N F E E SUMMARY STRUCTURAL . SEGMENT:Y
I do hereby certify that I am aware of end understand the requirements of California Health and Safety Cade Sections 25505.25533,end
25534,and the I or any future building occupant will/wiI not(circle one)need to oom*with said gate codes and the requirements for
a pond for coMM.:tenor modification from the Ai wWy engPmenl District.Residential connrudm
ion appiimn are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 90 , 00 . 68
Dee: Applicata: SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following dedons:eatiPLAN
ISSUE FEE
❑ I have and wig maintain a certificate of oonsent to self-insure for snorkel'compensation.as provided for by Sedion 3700 of the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,for the pedrmance of the work for with this perms a issued.
❑ Ihave aallmaintainworkers'cempnsatonise
surance, recwedbySLabor
Section37O0theCode,tortheperfred
mreth. TOTALS 90 . 68 0 , 00 -ion 0 . 00 90 . 68 90 . 68 . 00
d
wok for which this mann Is issued.My waken'compensation Insurance carver end poky number are:
Carrier: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 90 . 68 OVER/SHORT: . 00
Polity Numbs 1722R90-(44 10/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be complexed I the permk is for one hundred dollars WOO]or Ars.) 90 . 00 . 68
❑ Rangy that In the performance of the work for which thispermit is Issued,I shall not employi�
1y pa any person In any manner n as to
become aublad to the worker,'compensation laws d California,and agree that if I should become subject to the workers' *******************************************************************************
compensation provision of Section 3700 of the Labor o 'h campy with t10es provisions. INDIVIDUAL F E E BREAKDOWN
Date: 3._1 S-S 4. A ran: 4
Warning:Faure to secure workers'compensation coverageIs unlawful,end shall steed en employe to criminal penalties end TYPE QTY DESCRIPTIO�, N UNIT COST TOTAL COST
CMI Ones up to one hundred thousand dollars($104000),In addition to the coat of compensation damages* provided for In
Section 3706 of the Labor Code Interest and attorney's ieea. SFR 6800 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 6, 800 . 00
• CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there Is a contraction lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097,ON.C).
LENDER'S NAME: /
LENDER'S ADDRESS:
I certify that I have read this application end see that the above information Is coned.I agree to°ore*with all city and county ordinances .
and stale laws relating to building connudon and hereby authorize representatives of this city to enter upon the ebove.mentioned property
for inspection purposes. I ' i C2_, + '
BOB HIRSCHMAN � .. -
Print Name �`
Date:3 17 -5
�F Signature of Ormer/AgenuAppkrant/ContrWa
(5151-48.WP) White-Building 8 Safely:Green-Rte:Canary-Appieant:Pink-Revenue:Goldentod-Assessor
CONSTRUCTION AND PLANNING PC &SPA
,�APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector
rt. 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 OF 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 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 O Gas DOH
25. Roof Sheathing
077% 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: Y/77 pd s ,�6J
34. Final Heating & Air Conditioning 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 J6 (-
48. FINAL PLANNING 777
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
•
CITY OF COSTA MESA PER IT NO. TRACT N0. LOT NO. BLDG.NO. -
CONSTRUCTION PERMIT - Y F 860 .• Cl5I 12/!'./':
Project Address ai A' 1 -
•
TYPE.OF CONSTRUCTION U NEW LJ ADD 1J lq�iTE TION H REPAIR ' ,
Applicant's Mailing tl^de(-esss �J ❑ CONVERSION ❑ DEMOLISH L�OTHER" 4l act/^ A.P.# I Zone -
Owner's Name t i0 v U . "vr C'W one DESCRIPTION OF WORKON2. c,�caf.S
�_ - L= - Qr5 .t I /. -?S !/ .of 4 - , . is S Main Building: ' Accessory Building: Z
Address TYPE OF PER T MI GRADING ❑ FOUNDATION • STRUC 7 RAL T Front N
Arch/Eng. License No. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B
Address ❑ OTHER •
A Rear .
///� N
Contractor's Name C�r"_i, (SoalrXIa Phone CV-03N PROJECT DESCRIPTION SQ. FT. Z�0 `5p 'Fr-OCCUPANCY C Right - G
V \ Address(mailing/ / zN �`�/!"�--_ C. 6 CON STRUCTION TYPE VALUATION$ zo--re) ' g Left - RE
(J' d� r9Y7 ZONE GRADING CU.YDS. ACRES- Ref.# Park:Fees $ , O
City License No. Ping. U
. LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided . - I
(tj I hereby affirm that I am licensed under provisions of Charter 9 (commencing R
�) with section 7000) of Division 3 of the Business and Professions Code,and • Use of Building: - E
I
my license is in full force and effect.
-
License Class C -3`+' ,t ice_n,Le- Z PLUMBING FEES Planning Notes: • M
Date i?—Q-83 Signature jr
S�� E
' • ORKERS'COMPENSATION DECLARATION Bar Sink Showers T
lereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer Service Sink S
of Workers' Compensation Insurance, or a certified opy t/fjGtreof (Section - .
"1 3800, Lab. C..) . p3 ww� Backflow Irrigation
Policy No. O Company /' 9 I Sewer Cap ELECTRICAL FEES
•
�Caxrtified copy is hereby furnished. Bathtubs Sewer Connection Automatic Washer Transformer 0 15.50 KIN
mr-Certified copy is filed with the city uil ng Dlv' {�
Date /Z-/?-P1 Applicant_ DL
L Clarifiers • Solar Collectors 'Construction Pole Sub. 0 50 VV
+•-KW
EXEMPTION FROM WORKERS'COMPENSATION DECLARAT ONDishwasher
(This section need not be completed if the permit is for one hundred($100) or Solar Piping" • Cooking Unit Meter Dup to 100 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 so as to become subject to the , '
Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas• DElectric Sub Panel
Date Signature -- ' •
NOTICE: If,after making this declaration, you should become subject to the Floor Sinks Urinal Fan '
Workers' Compensation provisions of the Labor Code, you must forthwith - - - - _ Motors DO-1 HP 01'4-8
comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets '
CONSTRUCTION LENDING AGENCY - Water Closet. F.A.U. Inc.Solar 09-15 HP 016-15+
I hereby affirm that there is a•construction lending agency for the performance Interceptors Water Heater 'Fixtures
of the work for which this permit is issued-(Section 3097 Civ. C.) - 'Microwave '
Lender's, Name - Kitchen Sink - - -
Water'Service - Device Boxes - Pole Light
Lender's Address' •
OWNER BUILDER DECLARATION. • - Lavatories Outlets Range "
I hereby affirm that I am exempt from the Cdntractor'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
n file a signed statement that he/she Is licensed pursuant to the provisions of - -
t Contractor's License Law (Chapter 9(commencing with Section 7000)of '
vision 3 of the Business and Professions Code) or that he/she is exempt - - Generator D0-5 KW 05-15 KW Trash Compactor
.nerefrom 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 Reinspection coon Fee - •
3
penalty of not more than five hundred dollars($500). Pa $25 Issue Fee $
LJ 1, as'owner of the property or my employees with wages as their sole • Reinspection Fee $Z5 Issue Fee $ 3
compensation, will do toe work, and the structure is not Intended or offered MECHANICAL FEES
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 e I ■ '
thereon„antl 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
pletion, the owner will nave the burden of proving he/she did not build or im- Application Approved By (f�� Date
LJrove for the purpose of sale). aRefrigeration s s ads Application Issued By /LI. I _ Date—/3/10/ a
I, as owner of the property, am exclusively contracting,with licensed con- ■a ■100,opo s a :
tractors to construct the project (Section 7044,Business and Professions Code: a SUMMARY Of FEES
The Contractor's License Law does not apply to an owner of property who ti;
' '
builds or improves thereon, and who contracts for such projects with a con- ■ Multiple ■ BUILDING PERMIT $ Pdo (f i SMIR - $ z SO
tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ •
PERMIT
0 I am exempt under Section B.& P.C.for this reason :e ISSUANCE ' $
PLUMBING $
Date Owner PLAN CHECK $ ENERGY P:C. $
I hereby certify that I have read this application and state that the above 00-100,000 BTU ■ 00,000 GRADING
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ - - $
and state laws relating to building construe on, and hereby authorize repre- MICROFILM' $
sentatives of this-city to er upon above-mentioned property for • PLAN CHECK $
•
inspection our y MECHANICAL $ O , ,$-
Signature Date (Z-f Z-03 TOTAL FEE $
Drivers'.License or 55# ,$ 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. 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 59. Gas Pipe, D Undrgrnd., Test
9. Water Pipe-Undrgrnd. '60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Linei& 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 Factory Fireplace APPROVALS Permit#
IT- Ducts, in Structure • 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
2 . Gas Pipe-Rough&Test 72. Underground Flush
24. Roof Framing • 73. Undergrnd.Storage Tank 0 Gas D 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 PREY. FINAL
30. Drywall Nailing r HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:.*.. /Z//3,B3 Ok. �ecop.
est_
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 Via A/2144 g4 gQC. 303& i ?P-Ue e, #-
48. Special Requirements Completed
Via
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY -
No. Date '
•
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 •
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — se Ink Only
RECEIVED BY DATE RECEIVED
BUILDING 070 id* I_{,f-C1
DATE ISSUED
ADDRESS lll...IVVI (�jY/� /,,
OWNER //, i /1/11a�� A.P. NO./f ./ -1/4 2 iii7,1,rh2 p� P�E/R'�MIT NO.
MADDRESS CY a c.,/_ jeigs7 wG BADDRESS D JO ✓V1iL�Y�jPV✓r Kr�JLN ,
CITY 27.f_d�.�i�%/f/f)7 c672e.4 NOL -#*h Pr LO J 4 10.9
�""•' TRACT/ff�7'J LOTi1.q• /eB
cONSTRUCTION /��lJp�„_/ NEW ADD ALTER REPAIR MOVING OV/IIIOO SH
LENDER • `/ e/.--,
BRANCH �p��
OWNE
ADDRESS /� et �' R � �!->teo
9/J W VFX VALUE
OR ENGINEER I __ISfrr(ARCHITECT NEp //JjJ` //� SE W
FIRE
ADDRESS c-°6/4/? /I,/a fe i/0 ZONE TYPE7.• GROU
APPROVED
CONTRACTOR BY DATE
ADDRESS
L
USE OF NEW
CITY NOZONE_IPL NS n BUILDING/ /��-C
F STATE CITY YARDS APPROVED YARDS APPROVE
LIC. N0�68ee, LIC.NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE q� NO.OF BLDGS. (FROM C/L STREET)
O. OP LOT C� I NOW ON LOT � ROM/MO -ySIS FT.
a USE OF
EXISTING BLDG. _ AOFT ''-. FT.
r/1
ESeparate permits are required for L.SIDEjf1 FT.
Ci electric,plumbing and heating work. REA- 4.5'
GOI FT.
•
Imo, USE OF BUILDING AND WORK TO BE PERFORMED ,• BET. BET.MAIN&
MAIN
C — //� ),(///J/�r,r�� /��/t� y/,/r. BLOCS. ACCESS. SLOGS. �J '//n
(/ ��isG"s'��V L/If•L-G"rJ DATE
r APPROVED' -/7-- `-^r
��z'J-�,,�, dAPPRVED a TE --.211-"-77
GU — L REQUIREMENTS
a
O I hereby acknowledge that I have read this application and state n
CO that the above information Is correct and agree to comply with m1
O. all laws regulating building construction, and I shall not employ
i
Z any person in violation of the workman's compensation lows of
W the State of California. �I
I hereby certify that I am properly licensed as a contractor under ,/,210 SQ. FT` f~fall • al N
the State of California Bu.iness and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that suc• icenses are in II force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
us
am exempt fr• t it • • isions of the,S ate aiifo la Business c
VALUATION PERMIT FEE $
and Profe:.ns' -..e • vision C met r 9. n
PLAN CHECK $ en
Signature of O
Permittee '4 / $ a
TAX $ 2
U
TOTAL PAID §
Authorized Agent
___ IL .-
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rr
• COSTA MESA BUILDING-SAFETY DEPARTMENT /
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use ;i It Imo`{
BUILDING ♦ / J RECEIVED BY DATE RECEIVED DATE ISSUED
is ADDRESS /� I • es
2 NOS
OWNER A " .lam a :✓ h./ Al � PEjj
. A.P. NO. e4 G(':f
- "! ! f
41 BUILDING .
MAIL ¶ _ ADDRESS
?
ADDRESS4OD - 7 ,,q,ppp /j�/ j0 0-2- G-7 4 mom LN
i
CITY
a n TEL. TRACT LOT BLOCK
j' 441;
CONSTRUCTION Jl• NE ADD ALTER REPAIR MOVING DFMOI ISH
LENDER
BRANCH 4,e HO � _.s - I i _ _ ^
OWNER �j��� (J(�(j,(, '
ADDRESS
//�t�e1/s I VALUE
ARCHITECT �/ - TEL, S &Ar/0 L S $
OR ENGINEER.^(7 NO.
FIRE '
ADDRESS j ! ZONE TYPEeli---a-ROUP 11 ' -
/3�n, APPROVED
CONTRACTOR/ /� , a..., BY GATE
ADDRESS [[[///
TEL. ZONE NO.OF USE OF NEW
PLANS BUILDING
CITY NO.
F STATE CITY YARDS APPROVED YARDS APPROVED
, LIC. NO., S't�3 LIC.NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE NO.OF BLOC (FROM C/L STREET)
L OF LOT NOW ON LOT FRONT FT. FT.
Q USE OF
Ch EXISTING BLDG. R,SIDE FT. FT.
rA
f-4
Separate permits are required for L.SIDE FT. FT.
electric,plumbing and heating work.
C REAR FT. FT. '
f+7 USE OF BUILDING AND WORK TO BE PERFORMED '
F DISTANCE BET, BET.MAIN&
A _ 7T� MAIN BLOCS.
LOCS, ACCES
S,SLOGS,
" � iy. 1✓ 1t )W/ !n�w- ^K�7 VAR.#
C.U.P,sW DATE
APPROVED
Q
APPROVED
DATE j
w �•-affuN,r3 S=is 4 irSl2{'ai/3b ""a-
0. •
O I hereby acknowledge that I have read this application and state s -C uNI`•n 1;' /o j L'� GClX/s
rye that the above Information Is correct and agree to comply with l' 7 '-sco
p+ • all laws regulating building construction, and I shall not employ 4 i
Z any person in violation of the workman's compensation laws of � )
Sthe State of California. /�,'t y �/ (� I ne sic
I hereby certify that I am properly licensed as a contractor under `� 5 / a S0. FT. �� �S -,4, 1
q
the State of California Business end Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR tc `(fir!
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: vt
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ v ii \
end Professions Code,Division 3,Chapter 9. n M
• Signature of/'/�/1' 1 / PLAN CHECK E 296,03 re
Permittee 4 J✓�-N yCL 1 E /Y,/ oo� TAX $ i I2 u
5 , -O D
Authorized Agent TOTAL PAID E 2
, 6 � 7 ale
�� bli? 3i 7+PAID 1315 �'k::^ Si5.5U
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely— Use Ink Only
,, RECEIVED BY DATE RECEIVED DATE ISSUED
ADDRENG47a -,•�f-G �'V /EjTWJ9l'l,h b1/41ADDRESS /n/�{��� -,�.,w / PERMIT NO.
OWNER / _ _• �0 � A.P. NO.
MAIL - - l I -x•�/
BUILDING �V7d. 144 P W Immo
ADDRESS ADDRESS
TEL.
CITY NO. TRACT I LOT BLOCK
CONSTRUCTION NEW ADD ALTER REPAIR MOVING OFMOLISH
LENDER X 1
BRANCH '�`�'���
OWNER
ADDRESS
r� (��y4 0, VALUE 7�
ARCHITECT TEL. USE v �j. $ -n—
OR
OR ENGINEER Nei.
FIRE
ADDRESS ZONE TYPE GROUP
APPROVED
CONTRACTOR BY DATE
ADDRESS
TEL. ZONE 1 NO.OF USE OF NEW
CITY NO. PLANS BUILDING
E+ STATE CITY YARDS APPROVED YARDS APPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
Iii SIZE 'NO.OF BLDGS. (FROM C/L STREET)
L OF LOT NOW ON LOT FRONT FT. FT.
a USE OF
cc EXISTING BLDG. R.SIDE FT. FT,
VJ
FSeparate permits are required for L.SIDE FT. FT,
electric,plumbing and heating work.
G REAR FT. FT.
( 1 USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& i
'C MAIN BLOCS. ACCESS. BLDGS.
VAR.# DATE
Q — C.V.P.# APPROVED
• APPROVED
P"+ ABY DATE
W
CL
W - S
O I hereby acknowledge that I have read this application and state n
N
CC that the above information Is correct and agree to comply with
' all laws regulating building construction, and I shall not employ m
Z any person in violation of the workman's compensation laws of m
5 the State of California. m
I hereby certify that I am properly licensed as a contractor under SQ. FT. n
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: —
am exempt from the provisions of the State of California Business I ,� y
and Professions Code, Division 3,Chapter 9. VALUATION PERMIT FEE $ /Q m
PLAN CHECK $
Signature of o 0
Permittee $ TAX $ w
u
U
Authorized Agent TOTAL PAID $ 3 s tom. l