HomeMy WebLinkAbout1619 WINTERGREEN PL - Building Permits ;1 .
olg 9 CITY OF COSTA MESA
4 BUILDING DIVISION
F• "„ldlillria ,I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
PERMIT
4• " P07-00255
amnco`.
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.F935MBING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1619 WINTERGREEN PL Status: ISSUED
Suite No Applied: 04/25/2007
Issued: 04/25/2007
Vicinity:
Parcel Nunmber: 13956121 �...�
Applicant: ELLIS, E J, JR. '' )
Address: ISSUED BY: J
Phone:
Zip:
84301779
Owner: FISCHER, DONALD A TR EXP
' D
Address 1619 WINTERGREEN PL �j
Phone: DATE 11
COSTA MESA,CA Zip: 92626
Contractor: ORANGE COUNTY SERVICES INC DBA GEORGE BRAZIL PLU •
Address: 3801 LENAWEE AVE
Phone: 310-838-0408 X120
CULVER CITY,CA Zip: 90232
License: 679898
SCOPE OF PERMIT
INSTALL CLEAN OUT FOR BUILDING SEWER LINE FOR AN APARTMENT BUILDING.
FEE SUMMARY
AMT QTYAMT QTY AMT QTY
ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0
Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0
Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0
Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0
Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 . Vacuum Brkr Bkflow(1-4) $0.00 0
" Connect(Ice,Soda,etc) $0.00 0 Receptors _ $0.00 0 . Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0
Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0
Drain,Floor $0.00 0 Sewer Connect ,$0.00 0 Waste and Vent System $0.00 0
Drain,Rainwater $0.00 0 Sewer Private Line $24.65 1 Water Closet(Toilet) $0.00 0
Drain,Roof $0.00 0 Shower $0.00 0 Water Heater/vent $0.00 0
Drinking Fountain $0.00 0 Sink,bar . $0.00 0 Water Piping((nst or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0
Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 _ 0 Water Service $0.00 0
Gas(1-4 outlets) $0.00 0 Sink;kitchen $0.00 0 Water Softener $0.00 0
Gas(Over 4 outlets) $0.00 0 _ , Sink,service/mop $0.00 0 OTHER $0.00
Gas Repipe $0.00 0 ' ' Spa(private) $0.00 0 VIOLATION $0.00
Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00
Interceptors(Grease,Oil) $0.00 0 . REINSPECTION $0.00 0
Interceptors(Sand Auto) $0.00 0
TOTAL CALCULATED FEES: $48.15
•
COMMENTS/SPECIAL CONDITIONS
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:
O 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.
l 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'3° nsatlon!gUran�sarrier an licy number are: / �/� /�/)
Cartier: J7197- ' r�Nn cPONry Number.— eiO -'/Evocg-2W�
(This section need not be completed if the permit Is valued at one hundred dollars($100)or less.)
.❑�compe that in the performance oft e work lar hic`Iyth' per Is issued,I shall not employ any person In any manner as to becomef subject abo to the I hars'
compensation laws ofo inion , :n a 1*If F -me subject to the workers'compensation provisions of Section/ / 3700 of the Labor Code,I shall forthwith
comply with these provisions. / �� 4 -2- -07
Ap li Igneture:-- - `ii Saari Date:_ —
_� i
WARNING:FAILURE TO SECURE WORKERS'.1-ENSATION COVE•• EIS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDrI10N T'•THE COST OF COMNSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am.11censed 04 cr��� //
PPP1110°° apter 9(commencing with Section 7000)of Division 3 of the Business a Prot ioys Code,and my license is In full
force and effectccic a-" f-7 I 'h /7 CClassi#1' —
ConvactofsSlgneture:_ „may( ems / CDate: q-29%07
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,end 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.). '
❑ 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 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
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,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure). _
3 Does or will the applicant or present or future building occupant need to prepare en RMPP(Risk Management and Prevenion tProgram for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safely Code been fully complied with? ❑Yes ❑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 Alr Duality Management District or from any other air pollution control district or agency? Yes U No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 N a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which Is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If"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 at state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa t. ter upon the
above-described property for Inspection pu a- I agree not to occupy or allow occupancy of any building authorized by this permit until final insp: ion.
1 AO
. SW.01"
as
Tnd/7.Authorized Applican - , e`7—Dae_ / S
CODES INSPECTION TYPE 2g INTr6Alg BODE( INSPECTION TYPE PAIL INIIIISLs
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing I "1�(�
edi
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition _ 250 Final Building/Occupancy
•
PROJECT ADDRESS: 1619 WINTERGREEN PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 067668
OWNER'S NAME: FISCHER, DONALD A TR
no &ss: 1619 WINTERGREEN PL PERMIT NO: B 067668 PLAN CHECK NO: 02237-94 L GOVT: N SUPP: N
COSTA MESA, CA 92626
CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE: CON
714 ) 557-0727
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : SEE COMMENTS SQ FT: 46
ADDRESS: UNIT:
CLAIM VALUE: 1 , 500 , 00 CALL—VALUE: 920 .00 GROUP OCC ; R-3 /
PERMITTEE: CHUCK WAITE CUSTOM (714 ) 722-1134
ADDRESS: 286 WALNUT COMMENTS: WALL NOT TO EXCEED 6 ' IN HEIGHT.
C.M. LA 1-' "7627 **+r*+r***Trer*******at*er*et#+E***+e*?e******e6*****+r?L*�Ekr***�F*********e6+F�E**x-**********+r+a*
LICENSED CONTRACTOR DECLARATION: I hat Iam liceise' neer pr. isir' of Ch.pter 9(commencing with Section Z O N I N G S ERTEB QAUC I KRS E M E N T S
7000)of Division 3 of the Business and Profe - s in full rtce an.9 '. o 'c: 4
lc0583q1C . O M7 9 4Signature: S MAIN BUILDING ACCESSORY BUILDING
FIXERS'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 ls an {{ c Niedcpythereof(Section3800,Lab.C. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
POLICY NO.: I )8 o5 2-9 4 EXP.DA E: _ 4 /0 1 7. 5
COMPANY: STATE � PARKING REp PROV: PARCEL ; 13956121 ZNE: R2 REF NO:
Certified copy is hereby furnished. 1i Ce lied copy is lite th the cit o:ir. 1.01 t5i PLANNING NOTES> CONSTRUCT 6-6 ' HIGH PILASTERS-9 ' SEPARATION-2 ' HIGH WALL BTW
/�/�� q �// / At , .—_ > L WROUGHT IRON ON TOP . ON FT ON RIGHT SIDE PROP LINE,
D e:[?' 7 0— 1 1 Applicant: ************************************************************** ****************
/ EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit isfor nehurldredlSlO)orless). DEVELOPMENT SERVICES REQUIREMENTS
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 p / /
subject to the Workers'Compensation Laws o1 California. ZONING APPROVED BY � ) '` DATE: L 20
Dale, Signature: e�llf'
NOTICE:If.alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APP ROVED BY \JJY� DATE: V'—
Code. you must tonhwlth comply with such provisions or this permit shall be deemed revoked. ��T,, w
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: ._ DATE: �(-TF�
which this permit is issued(Section 3097.Civ.C. • ***************************;E*********fl*******************************; . . . . *.N.L
LENDER: ********************************************************************** ***** ***
ADORE'.. CONST . 2 ' 6" BLOCK WALL LEGALIZATION : N F E E SUMMARY STRUCTURAL SEGMENT :Y
ITH WRAUGHT IRON FENS' •
OWNER BUILDER DECLARATI' .• .. at am ex-o' ontractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: •ny i• , •unty which requires a permit to construct,alter,improve,demolish,or PERMIT 25 . 00 50
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 16 , 25 SMIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
L as owner of the property or my employees with wages as their sole compensation, will 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————> 25 . 50 0 . 00 16 , 25 41 . 75 41 . 75 , 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.d,however the building or REVENUE DIVISION TOTALS--> COLLECTED ; 41 . 75 OVER/SHORT: . 00
forpthevepurpose sold one year or completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 250 0 50 16 2 5
❑ 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 theContractors'State License Law). l am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL FEE BREAKDOWN
❑ I am exempt under Section: B.&P.C.
for this reason. TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: SFR 46 RES—CONCRETE BLOCK WALL / FT. 20 . 00 •
920 , 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant willvntl not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from ,
these provisions. .
Dale: •rplicanl:
•
I hereby certify That I have read this appticati: and state that the ab• e informal,.•i'c' -ct, . ree,to comply with all city and county
ordinances and state laws relating to building c' struction and hereby: thor¢e repre es of :city I.enter upon the above-mentioned
property for inspection ��
• 9 e �' f 0100162571-00162573 TOT 41.75
Dale. Signature- DATE: 06/20/94 TItlE: 08:46
Driver's License or Social Security if:
1641,46 While—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL , PA.
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
i 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 &-2(-4q c,fi _ 56. Rough Plumbing & Pressure Test
6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings �Z�-!ti/ (�c.4.,b• 58. Electr.cal Condwt•Undrgrnd. I I
8. Foundation •69. Gas Pipe, 0 Undrgrnd., Test 1 -}
9. Water Pipe-Undrgrnd. _ -60. Backwash Lines, P-Trap. 0 Undrg•rd. I
10. Structural Floor System . 61. APPROVAL TO DECK -}�
11. Property Sewer Line &House Connection 62. Backwash & Receptor-Final I
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 F INAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structurer
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 0:1
25. Roof Sheathing 74. Overhead Flydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standp,pe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. 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 - / 22-c(e( C-t �[ ` .�
35. Final Gas Pipe-Test CY '[ (�! G)�/�lC�•�" 'i
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 7 p7_?(&eu -
48. FINAL PLANNING 1 t
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY
No. Date
DIVISION OF :• 1, , 1 ,r SARffir
WlVl .)Co — COYCP00111I 1=
9 133M1S • . .-
Mb est el plans aid epeetalllieler be i attie .ata/fits
„1) .i jut IV 1 av3[b lstMu w� tae -:...... • , angels alrtettat�t
�T �,' 1 . anfromaltMtn E4.GbdCoat
C,� T 113 Soft athis plan and opeasw.SHuiNoroeheld rpea
tCattinanoeandfortmletar del �+of�Y Y•4'#.
frfi I LA I nine grans and pandit shad iota y ntMu a null and an
/JJJ] n ? tt Ds!i!!5!! '18OS3u8Iailanc
madand maintained active✓/ �] / ,(/ 101130111311131110111311IONICI ONlviet
ills
Tl> • y (Q�CP
1' . }r
(Q- 6i Fu p (cuo c - 8 i o THIS NUMB.R MUST ACCOMPAKY
I p�� INSPECTION REQUESTS'"\
02 ' kut- loto de_ -Liu ci_A}C . tatit-Weibu.•
•
L Gc.Q�t�.� — w-u��c��lt �vt
�J �/ �/��3S/S
Com --
r,: fir;�-�, a,
it a °S` la
ctry of cosra k -ii: / .
rut ,,.,,
J� : .� uirr
ADDITIONS, DELETIONS, OR CORRECTIONS SHALL' Y��= �c ;` cl� `J
BE APPROVED 3'r TiiE PLi. +'.: N DEPARTIv1ENT l
DraCCTO.C.• HAN:11.t0
TYPICAL 6" CONCRETE BLOCK FENCE
Cement Coping Optional ® -- — -' mGENERAL- NOTES
Channel Block With 1-3/80 '"I
Horizontal Top of all �■
I
Fences N MORTAR: One Part Plastic Cement, and
,0 GROUT: Three Parts Sand
One Port Cement Three and
For Fences 5'or Less f One Half Parts Sand
Vert.Bars 3/8"¢at 4' -0"O.C. Id a° I __-_ ___ __ COPING: One Part Cement, Three
1- Parts Sand
For Fences Higher Than 5' 1u
I
' I . CONCRETE: Well Milted I:2-1/2: 3-1/2
Vert. Bars 3/8"qf at 32" O.C. s w ---
i Max. of 7- 1/2 Gallons of
Fill Cells Solid With Grout in `> Z jit'll •U Water Per Sack of Cement
Where Steel Occursiii��� s -
'cs
Reinforcing Steel Shall 1• f tO � �. GROUT MAY BE POURED FROM THE 70P
Conform to Sec.A-15-39 w 0 -- -- OF THE FENCE IN CELLS WHERE STEEL
' OCCURS.
A.S.T.M. ;IN u ~ CELLS AND AREAS OF HORIZONTAL REIN- -
w n � FORCEMENT SHALL BE CLEAR,CLEAN&
All Steel to be Lapped tlFREE OF ALL MORTAR DEBRIS,ETC. `
24"or to Code Ill1 Isa _
NATURAL GRADE
ii;"V/ •Y, `INV ��I P2.' V. • % .t t -
' •o .• . . a . _ � � .
un
TWO "4 BARS '�` D ' r . e • • En • .
CONTINUOUS TOP I
& BOTTOM 1►—WIDTH TO 16 0 C. MAX.
SEE CHART • • . r.
HOI IZSTEEL MUST BE TIED IN BELOW r DE PTH OF EARTHTCOTH
PLACE AT TIME OF TRENCH
I V_z
THE HEIGTH OF FENCE
INSPECTION. 1+ I _ LOW BOTTOM-OF E00T.ING
e . ee 3 ►e,- 1f_{ici Ci =--3" .-^L":'J t"��ri1� �i
�;p" I 10'� iy-_,.. JC�M-71 Gam' :. 10 C-SiC-IArL-E-ALI-./1 : .«:I�
FOOTING REQUIREMENTS CHAnT- - j— EC gGSG c.�racSag
,� —
ifnr IgC�t:::: G'4 E:7TCMCcr C2
WALL HEIGHT 6 ' 5 ! r--.rzr;eat ,r71.."-31 I1[gf$lieir
WIDTH 14" 14" Iiirs "r•12Uc=Imams ' '%12u
THICKNESS . . . . . . . .10" 10" M Rr``-9'"-A Drgig IrtCl on*r
neleatilICONIP
DEPTH OF EARTHTOOTH . . . 24" . . . 20" rare" . . . . -172;
SPACING OF EARTHTOOTH. . 12' . . 14' 16'. . - .:.. ...,9as I'6'
CIA Oh COIN NEN
City of Costa Mesa, California . i,VA air t •t•: . 2TE2AA
N` -- Building Department
btE•.:'9ED Nov.at '� _•••-,•-�••_
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. '
CITY OF COSTA MESA t PERMIT NO. TRACT NO. LOT NO. BLDG.NO. - T
CONSTRUCTION PERMIT JOB # 1698 ' A _ ??O � 02?1 1E/27/ t', I `
Project Address 6 9 Wintergreen PlaceLi ALTERATION W REPAIR •
TYPE OF CONSTRUCTION Li NGW U ADD
Applicant's MailingAddress 618 N. Eckhoff St. Orange ❑ CONVERSION ❑ DEMOLISH ❑ OTHER pP Reroof with Decra Tile, 15 squares A'P-# Zone
Owners Name Don Fischer Phone n/a DESCRIPTION OF WORK
ss,�, according to ICBO # 31.OQ.
msS Main Building: Accessory Building: ' Z
o
Address 1619 Wintergreen aCu.aCe TYPE OF PERMIT GRADING FOUNDATION ❑ STRUCTURAL E
Front • - N
Arch/Eng. License No. - ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear
Address ❑ OTHER A N
Contractor's Name CAL-PAC ROOFING, INC. Phone 978-2668 PROJECT DESCRIPTION Sq.FT. 'L5� OCCUP N�S�j Sid C •flight - • G
Address(mailing) #276618 N. Eckhoff St. Orange 92668 CONSTRUCTION TYPE tterodiiing VALUATION$3,Y,..-.Oo $ Left E
ZONE GRADING CU.YDS. ACRES Ping. Ref.# Perk.Fees $ - Q
City License No. 3U
•
LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided ,
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 full five and effect. 379503
•License Cl. s D ice s• No. PLUMBING I FEES Planning Notes: I M
Date 1 •At Signatu i 2�.. -Iii. ./ - E
r—
WORKERS'COMPENSATION DEC • RATION Bar Sink Showers I N
T
hereby affirm that 1 have a certificate of consent to self-insure or a certificate Backflow PreventerService Sink • s
i Workers' Compensation Insurance, or a certified copy thereof (Section " .. . -
4800, Lab. . Backflow BkfloIrrigation • Sewer Cap . ELECTRICAL •• FEES
Policy No. DAS 137886 Company Royal Ins. CO.
Ia Certified copy Is hereby furnished. Bathtubs Sewer Connection Automatic Washer ; .Transformer 0 15-50.KW
Cert iletl with the city v' Ion I
Yfry8t9�83 ,.a !!Hem, Clarifiers Solar Collectors ❑ 50+;KW
Date Applicant r Construction Pole Sub. i n '
-EXEMPTION FROM WORKERS'CO PENSATION DECLARATION ' Dishwasher 'Solar Piping '
(This section need not be completed If the permit Is for one hundred ($100)or P 9 _ _ 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/S a 'Dryers DGes ❑Electric Sub Panel, : Al ,Dam ' Signature • _
NOTICE:If,after making this declaration, you should become subject to the Floor Sinks Urinal - -Fan Motors Do-1 HP.D114-8 '
Workers' Compensation provisions of,the"Labor Code, you must forthwith '- - - ' - , - -
comply with such provisions or this-permit shall be deemed revoked. ' Gas Service ,Outlets Water Closet
• CONSTRUCTION,LENDING."AGENCY - . • F.A.U. Inc.Solar 09-15 HP 016-15+
I hereby affirm that there is aiconstruction lending agency for the performance interceptors Water Heater •
Fixtures Microwave , •
of the work for which this permit is issued (Section 3097 Civ. C.) • . I
Lender's Name. • , _ . Kitchen Sink• - Water.Service - Device Boxes Pole Light
Lender'sAptlress' i - _ .
OWNER BUILDER DECLARATION. Lavatories - Outlets - Range
•
I hereby,affirm that I am exempt from thelContractar's License Law for the • •
following reason-(Section 7031.5 Business and Professional Code: Any city or • P-Trap• - - - _ ,Switches' I 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 i ' - Garbage Disposal Standing Sections
to file a signed statement'that he/she Is licensed pursuant to the provisions of ` _ - ••
the Contractor's License Law(Chapter 9(commencing':with Section 7000)of i -
Thivislon 3 of the Business and.Professions Code) or, that he/she is exempt •- - i - . . Generator D0.5 KW D5-15 KW Trash Compactor '
•refrom and the basis for the alleged exemption. ny violation of Section ' '- - - - - -
i31.5 by'any applicant for a'permitsubjects the applicant to a civil -
enalty of not more than five hundred dollars($500). . - I Reinspection Fee - I $25 Issue Fee - $ 3 '
.LJ I, aslowner of the properly or-my employees with wages•as their sole -- Reinspection Fee $25 ,Issue Fee $ 3
compensation, wily do the work,and the structure is not intended or offered i MECHANICAL -- FEES
•
for sale (Section 7044, Business and Piofessional•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 ` i ZoningApproved By
employees, provided that such'improvements are not intended or offeredforCanopy Type II; D i _ pP - Date
sale. If, however, the building Or Improvement Is sold within one year of com- , Duct:Under Ground I - Application Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im-
ofove for the purpose of sale). Duct-Structural Refrigeration System • Application Issued By 4. ,.#', nate/x'/27 -S_
LJ I, as owner of the property,am exclusively contracting'withlicensed con- ❑0-100,000 BTU 0100,000 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- •
builds or improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ 15.00 SMIP $ _ •5O
•
tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT
❑ I am exempt under Section-- - B.& P.C.for this reason Firepl/Fact.Bit. ICBO#•
ISSUANCE •
$
' PLUMBING- ' $ -
Date Owner- ' Heating System& Ducting e • _ PLAN CHECK $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,000 BT GRADING $
information is correct. I agree to comply with all city and county ordinances • _ - - ELECTRICAL $
and-state laws relating to building construction, and hereby authorize repre- CHECK MICROFILM $
PLAN
sentatives of,,,this,,,tttIty to este upon the above-mentioned property for - , $
inspection
Signature r Date 11/30/83 TOTAL FEE $MECHANICAL $ 15.50
Drivers' License or SS# - $25 Issue Fee Reinspection Fee $ 3 PLAN CHECK $
CMF 0865-46 rev. 7/83 White--Building;Canary:Applitant;'Pink'-Accounting;Goldenrod-Assessor - • - - - , + - -
•
CONSTRUCTION AND PLANNING ' POOI WA
APPROVALS Permit# DateY Inspector APPROVALS Permit# Date Inspector
• 1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location
. 2. Soil Pipe-Undrgrnd. - �• ' - 53. Steel Reinforcement ti:�
:3. Electrical Conduit;Utility-Undrgrnd. - 54. Forms.
4..Electrical'Conduit;Undrg'rnd. _ 55. Electrical Bonding
'5..Steel'Reinforcement • - 56. Rough Plumbing & Pressure Test .-
6. ;Electrical•UFERGrrid. 57. APPROVAL TO COVE R-GUNITE
7. Fodtin s`•t t/g .-i., 58. Electrical Conduit-Undrgrnd. /i-
78. :Foundation - • ,y. 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
1.6. 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.E Roof Framing • 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25•: Rodf 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
6A7/115- %?-13
48. Special Requirements Completed '` %?-13
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY • -
No. • Date
OWNER FISCHER, Donald DATE 5-12-71
fTh''JOB ADDRESS 1619 A Wintergreen Place BUILDING PERMIT NO. p75
r ERAL CONTRACTORR. M. Wilson DESCRIPTION of WORK 2 Patio Cove
ti. ,40. LOT 20 TRACT6261 FIRE ZONE VALUE $ 500.00
INSPECTIONS Signature Date GROURT TYPE IV ZONE R-2
aaa����C SOIL PERMITS ISSUED
\GAs SUBCONTRACTOR Date Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE E HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 5
ROUGH WIRING Heating and Vent.
TRENCHES ❑ FORMS ❑ STEEL REINF. ❑
FLOOR SYSTEM
BOND BEAM El STEEL REINFORCE ❑
SHEATHING
FRAME AND FLASHING
LP--'ING - IN n OUT n
F ER, BROWN COAT
STRUCTURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST In
ELECTRIC, FINAL /� /
., . ,. � . . /4 OM /n/u C
33075 �
MY 13-71�"„—;�00 497 vrts.no
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
��/ / _ A co/ n 7 RECEI71 BV) DATE RECEIVED DATE ISSUED
BUILDING (i�{, 7)`/` S -J7 7J s-_, ,__7)
ADDRESS
/I L v PERMIT NO,
7I
OWNER I n N 4 /I F,.'Sc1 /`•(/Y^ 7 A.P.NO. — //
S C ADDRESS /6/�� ///��' _
BUILDING
MAILttt/// ��-�����VV%”'
Z ADDRESS 1:74/I.L-/!A- ^ �J hh
Q. U CITY �K NO. /02-7 TRACT 6/IX / LOTa5 BLOCK
1-Z
ZQ CONSTRUCTION NEW I ADD ALTER REPAIR (MOVING DEMOLISH
O N LENDER cs�n-Ct. ; I _
a
JD D
BRANCH �y.yy�(/,t eC\ 1/ ,\
J N OWNER v "C`/.[ \ /�Q/i1f�/L
CD J ADDRESS awn._ TjALUE /y�'\`f,�,w
J Q ARCHITECT ricr,�-d— TEL. S '�"`""- $ , v
U OR ENGINEER I VVV"fYeee /--��WA-��`s``st NO, \`y/
FIRE
CUM ADDRESS e3 V ,-4,.I,/L ZONE TYPE/ GROUP /I •y
JO CONTRACTOR /2( IM (.✓ 1 IS Oh. / BCL 41 BVPROV ED
(-9e/ '174 DATEJ���' /J
J 03 Z ADDRESS `O / h )SO A— 7I-/�• 11
///ttt111���E
cc
w W � �I�� � TEL. ZON NO.OF USE OF N(�/ •
ZI- CITSery .1cV Otte-- NO.�OJ[4j(1 „ PLANS a BUILDING \ . ,^/O a>
O STATE CITY YARDS APPROVED YARDS APPROVED
N 2 LIC. NO. f S S�// LIC,NO. MAIN BUILDING CESS Y LOING
7O SIZE Na OF BLDG'S.
LSTR S _
OF LOT INOWONLOT O q /, TV" 16154,5. 4.47i
EXISTING BLDG.USE OF •1 R SIDE ri•C4 F /. FT.
I- SIZE OF NO.OF -F
Z NEW BLDG. ROOMS STORIES L.SIDE ,3 FT. -e FT rialeky
V EXTERIOR WALL I ROOF _
COVERING COVERING REAR .9 FT. 9 FT.
dUSE OF BUILDING AND WOR///K TO BE PERFORMED/ DISTANCE BET. BET.MAIN&
1 ( (l q ]/ y MAIN BLDGS. ACCESS.BLOCS.
isiA)
Q �/ 1 \J 1� /\ CJ CARP. APPR
O / 1`�iW.'._n, r� �� ` / C.U.P. /J/J APPROVED
CO /`1�� /� 2C �_Y ROVED// l/,/J/ DATE I-5---/42- 7/
O (�(�
L~.1 I hereby acknowledge that I have read this application and state
D that the above information Is correct and agree to comply with
x MI laws regulating building construction, and I shall not employ
F, any person in violation of the workman's compensation laws of
NID
the State of alifornia.
Z I herebycertifythat I amSO. FT. o
properly licensed as a contractor under
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR i
Chapter 9, and that ch licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0
CC
am exempt fro e p ovlsions of the State of California Business
VALUATION �� a
and Profession ode, i ision 3, a. :r 9. $/ �^ ra
PERMIT FEE $
Signature ofCog3m
Permittee $5-41-. 11° PLAN CHECK $ E
Authorized Agent u.
TOTAL FEE $
ii,,,,,,-
?'`) 21870 PAIL)
°
V COSTA MESABUILDINGSAFETYDEPARTMENT �'f 71-70c1-157001748 ***171.00
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely gECElnyttD VI DAIE R CEIVED DATE ISSUED
BUILDING lei c '-7/1
ADDRESS 1619 Wintergreen Fl. fv}�jI)Lp
OWNER Harbor Mesa Cor • A.P. NO. Pg/O / 22
MAIL BUILDING
Z
ADDRESS 15117 Ventura Blvd. RIB 6 ADDRESS /Gj/9/ f��^, /
a 0 CITY Sherman Oaks•Cal 91403 ui NDS 986-5077 TRACT pr, 6/ LOT 9!/ BLOCK
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOLIGH
O m LENDER .
0.J D BRANCH
_1(n OWNERr�.B{i l
m -I ADDRESS VALUE
•m ARCHITECT
C OR ENGINEER Rapoport NO. � USE $
(7) FIRE a( r
�
W K ADDRESS 146 N. Robertson Blvd. ZONE TYPE GROUP:TT/ x+
CL w
PaCillaaS, Inc• APPROVED
W Z CONTRACTOR BY DATE
_IO
M
:I cc ADDRESS 15117 Ventura Blvd. '
W W TEL
Zp��F NGOF USE OF NEWT,/` " sr r
Z CITY Sherman Oaks,Cal 91403 NO.986-5077 Ica`Crt. PLANS 2.-- BUILDINGI
W •
0 STATE kJ CITY YARDS APPROVED YARDS APP-•VED
OLIC. NO. 1991 LIC.NO. MAIN BUILDING ACCESSORY BUILDING
SIZE NO.OF BLDGS (FROM C/L STREET)
OF LOT 97.3 X 110.7 NOW ON LOT None RANT ST. FT.
USE OF //
EXISTING BLDG. None R SIDE 4 FT,�NO,OF ! FT,
1- SIZE
Z NEW BLDG. 56 X 59 ROOMS 9 STORIES 1 L.SIDE rXSy FT,/0 t/ FT.
F
V_ COVERINGERIOR WALL StuCCo COVERING Rock REAR I L) FT. FT.
-1 USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN E.
1 MAIN BLDGS. ACCESS.BLDGS.
ORe:tales C URP..,„ go,--4.2 / APPROVED /O-6 - ?
C/3 I yIttx / earl .MCN APPBOVL-7/-4`i (C�r�I DATE 5---/ `� �O
O / c¢�i 2 r11 -v-a_o 6-s t
U I hereby acknowledge that I have read this application and state HOLD FOR SPECIAL REQUIREbi- TS
:;
7 that the above information Is correct and agree to comply with
CC all taws regulating building construction, and I shall not employ
1- any person in violation of the workman's compensation laws of
to the State of California.
2 9 — 66
�s J m
? I hereby certify that I am properly licensed as a contractor under l• SO, FT. J (.9
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: Q
am exempt from the provisions of the State o fornix Business
VALUATION
and Professions Code •ivision 3,Chapter
PERMIT
m
r
PERMIT FEE $ // CV
Signature ofZ O'C7 `j' D
hl }� m
Permittee i ./ / $ 311/2 PLAN CHECK $ /T E
Authors :d Agent ' / o
` TOTAL FEE $ /7, ,
o� a