HomeMy WebLinkAbout3121 YUKON AVE - Building PermitsMCITY OF COSTA MESA
o F BUILDING DIVISION
i 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 - Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: P08-00001
PERMIT TYPE PLUM
APN: 41805112
JOB ADDRESS: 3121 YUKON AV CM
Vicinity:
SCOPE OF WORK: REPLACE WATER HEATER
OWNER:
BECKER, ANTHONY P
PHONE:
COSTA MESA, CA
APPLICANT:
TIM NOCK
PHONE:
714-532-4857
CONTRACTOR: ORANGE INSTALLERS
Address: 905 E CHALYNN AV
City/State: ORANGE, CA ZipCode: 92865
STATUS: ISSUED
DATE ISSUED: 01/02/2008
ISSUED BY: SOK
Suite/Unit:
Address:
3121 YUKON AVE
City/State/Zip:
COSTA MESA, CA
Address:
905 E CHALYNN AV
City/State/zZip:
ORANGE, CA
ARCHITECT: License No.
ENGINEER: License No.
License No. 511971
PHONE: 714.532-4857
CELL:
PLUMBING PERMIT FEE SUMMARY
PLAN CHECK FEE: $0.00
PERMIT FEE: $35.80
TOTAL, FEES: $35.80
PHONE:
PHONE:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calif imia statutes and related
regulations. (Ord, No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
CODE t, INSPECTION nTE DATE INTMALS CODE INSPECTION TYPE DATE INTMAL5
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing OS
200 Final Re -Roof 210 Final Electrical ip
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 BuildingChccupancy
WORKERS' COMPENSATION DECLARATION: 40
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -Insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by
section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation Insurance carrier and policy
number are:
Carrier:
(This section need not be owrplefed /Vie pemN a vahnxr at we h erwxrd ddears ($10(i) Mess.)
Policy Number:
b I cel
certify that in the performance of the work for which this permit is
issued,'I shall not employ any person in any manner so as to become subject
to the workers' compensation I Ws of California, and agree that if I should
become subject to the worker compensation provisions of Section 3700 0l
the Labor Co '� 1 h II f rthwi rcomply with these provisions.
f p ht's Stgnature �Oala- '
WARNING: FAILURE TO SECURE WORKERS' COMPENSATI CNO OVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing
with Section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force and effect.
Class #, C K�
--Conuaddr'ss naWre - Date .y-,
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that them 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:
Date
OWNER -BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Professions Code: Any city or county which requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and
the basis for the alleged exemption, Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty of not more than
five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of
completion, the owner -builder will have the burden of proving that he or she
did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and
Professions Code: The contractors License Law tices 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.).
❑ 1 am exempt under sec.
Business and Professions Code for this reason:
Signature Date
305746 (3/07)
r
Owner ID verified by drive ❑ Yes ❑ No
Driver's License No.
Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 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 6, 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.
Applicant's Signature
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? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some
exceptions, that a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature and pressure).
2. Does or will the applicant or present or future building occupant need to file
a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperature and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the California
Health and Safety Code been fully complied with? ❑ 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 a permit for such construction
or modification from the South Coast Air Quality Management District or from
any other air pollution control district or agency? []Yes ❑ No
(Section 65850.2 of the California Government Code requires that the requested
information be fumished 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? ❑ Yes ❑ No
(If "yes", the facility must meet the requirement of Sections 25534 and 42303
of the California Health and Safely Code).
7. If 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? ❑ Yes ❑ 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.
Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state that
the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
Signal ure o r ) Date
And/or tho4 Apoiant,r ,
-
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA M // CON TRUCTI O�IJ�ERMIT PERMIT NO: , 1 TRACT NO. LOT NO I UNIT NO.
Project Address
Applicant's Mailing A�jdress �u,�/����+sr a./L FiQ�lti2
Owner'sNagm�e +/OeCI«' Phonp,!no cavi
Address �.L�����64i len c'iJ1/e'iR1A
Arch/Eng. License No.
Address
Contractor's Nam Phone�'L_s !'
Address (mailing)/S'S7//1/S
,ff14 VQ2d4fFChfi JeA1A19 927/,V
City License No. 10 LA 7.71
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing
with section 7000) of Division 3 Of the Business and Professions Code, and
my license is in full fore nd effect. y 16'12
License Cl a icense No.
Date ^ Signnstu
ORKE RS' COMPENSATION DEC ATION
eyereby affirm that I have a certifica a of consent to self -Insure or a certificate
,,yy��Workers' Compensation Insurance, or a cert)/letl copy thereof (Section
fP^^.o�lid� No.�o��traZO � d O Company .S �/�T� �"t•af��
L� fit i¢etld {c�oP�y Iisyhµe�rdbwit hrt hehcldtY it llyg�Dly on.
LDate �^ a _ x x APPlica nt �,�JS �1��e1/(� Ca
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section need not be completed If the permit is for One hundred ($100) or
less).
certify that in the performance of the work for which this permit is issued 1
shall not employ any person in any manner so as to become subject to tke
Workers' Compensation Laws of California.
Date Signature
NOTICE: If, after making this declaration, you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
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 (Section 3097 Civ. C.)
Lender's Name
Lender's Address
OWNER BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractor's License Law for the
following reason (Section 7031.5 Business and Professional 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/she is licensed pursuant to the provisions of
the Contractor's License Law (Chapter 9 (commencing with Section 70 00)
of
Division 3 of the Business and Professions Code) or that he/she is exempt
herefrom and the basis for the alleged exemption. Any violation of Section
031.5 by any applicant for a permit subjects the applicant to a civil
enaltyof not more than five hundred dollars ($500).
1, xs owner of the property or my employees with wages as their sole
Compensation, will do the work, and the structure Is not intended or offered
for sale (Section 7044, Business and Professional Code: The Contractor's
License Law does not apply t0 an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own
employees, provided that such improvements are not intended or offered for
Sale. It, however, the building or Improvement is sold within one year of com-
pletion, the owner will have the burden of proving he/she did not build or im-
prove for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed con-
tractors to construct the project (Section 7044, Business and Professions Code:
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-
tractors license pursuant to the Contractor's Ll cense Law). I am aware that
Proof of their Worker's Compensation Insurance Should be providetl to me.
if I am exempt under Section B. & P. C. for this reason
Date Owner
ereby certify that I have rea
in ormation is correct. I agree to
and stale laws rel to bus
sentatives of t y to ter
inspection pu S.
Signature
' Drivers' License 00i #
J this application and state that the above
comply with all city and county ordinances
9 construction, and hereby authorize repre-
upon the above-mentioned property for
Date
N_.
OF CONSTRUCTION LJ NEW L
❑ CONVERSION ❑ DEMOLISH ❑ C
DESCRIPTION OF WORK/USE OF BLDG.
ADD LJ ALTERATION
TYPE OF PERMIT ❑ GRADING El FOUNDATION El STRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION SQ. F OCCUPANCY
CONSTRUCTION TYPE VALUATIONS_
ZONE GRADINGCU.YDS. ACRE
Remarks:
A.P. # I Zone
S
Main Building: Accessory Building:
E
T
Front'
Z
O
B
A
Rear
N
I
C
Right
N
K
S
Left
G
R
Ping. Ref. # Parking Req./Provided
E
Planning Notes:
Q
)M
Cooking Unit
T
S
Bar Sink
Showers
ELECTRICAL
FEES
Backflow Preventer
Service Sink
Automatic Washer
Construction Pole Sub.
Transformer ❑ 15-50 KW
❑ 50+KIN
Backflow Irrigation Sewer Cap
Bathtubs
Sewer Connection
Cooking Unit
Meter El up to 100 amps
Clarifiers
Solar Collectors
Dishwasher
Meter ❑over 100 amps
Dishwasher
Solar Piping
Dryers ❑Gas ❑Electric
Sub Panel
Drinking Fountains
Solar Tank
Fan
Motors ❑0-1 HP ❑1 h- 8
Floor Drains
Swimming Pool w/Spa
F.A.U.
Inc.Solar 09-15 HP 016-15+
Floor Sinks
Urinal
Fixtures
Microwave
Gas Service Outlets
Water Closet
Device Boxes
Pole Light
Interceptors
Water Heater
Outlets
Range
Kitchen Sink
Water Service
Switches
Sign
Lavatories
Auto -Wash
Garbage Disposal
Standing Sections
.P—Trap
Laundry Trays
Generator 00.5 KW ❑5-15 KW Trash Compactor
Roof Drains
Reinspection Fee $15
Issue Fee
$ 3
Reinspection Fee
$15 luue Fee
$ 3
MECHANICAL
FEES
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By Date
Building Approved By Date
Apphution Issued By � Dat
��1�
Boiler
Hood or Type ❑
Canopy Type II ❑
Duct - Under Ground
Duct - Structural
Refrigeration System
❑o-i00,000BTU 0100,0008TU
Duct -Ventilating
BUILDING PERMIT
PLAN CHECK
PLUMBING
\p� PLAN CHECK 25%
T`\o\ELECTRICAL
9 PLAN CHECK 50%
MECHANICAL
PLAN CHECK 25%
SUMMARY�FFEES
$�j—T — SMIP $
$ PERMIT
$ ISSUANCE $
$ ENERGY P.C. $
$ GRADING $
$ MICROFILM $
$ TOTALFEE $
$
S�—
Exhaust System ❑ Multiple C1
System Repair/Alteration
Firepl/Fact. Bit. ICED #
Fire Dampers
Heating System & Ducting
E10-100,000 BTU ❑100,000BT
Registers
Reinspection Fee
$15
Issue Fee
$ 3
CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
01 00009003-00009004 TOT 54.56
CONSTRUCTION AND PLANNING
APPROVALS Permit#
Date
Inspector
POOL & SPA
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 LIFER Grnd.
57. APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd.
B. Foundation --
59. Gas Pipe, O 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. REQUIREM-ENT 1
APPROVALS Permit # '
"
20. Rough Factory Fireplace
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 ❑Gas 0Oil
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 l
'
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
r -
41. Solar Domestic -Final
r.
' 42. Backflow Preventer
- t.
'43. Backflow Irrigation
44. Landscape Irrigation Systems
- -.
46. 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. CENTIFICATE OF OCCUPANCY
No. - Datg,
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA
Wff-IT 3
ZBS
TRACT NO LOT NO. BLDG. NO.
��D-l�
4297
- - -
4/07/82
" GCVSTRUCTION PERMIT
LS
TYPE OF CONSTRUCTION
❑ NEW ❑ ADD ❑ ALTERATION
r❑1�yREPAIR El CONVERSION ❑DEMOLISH
yy OTHER -?4260'e.
L
E
. 39.27
ZONING REGULATIONS '
= Project Address LU ENL/G—
Owner Phone
Address -SANE A -s !/-
^% License No. /�%
.Arch/Eng. ,Q
DESCRIPTION OF WORK'
QE W, a LO
00
/%i/fs
A.P. $ 164 f-5 _ ( Z
ZONE PLNG. REF.
Address _ -
Contractor jVA/E,e-B[//L' Phone
TYPE OF PERMIT
❑ GRADING ❑ FOUNDATIONS f�STRUCTURAt_
❑ TENANT. ❑ ELECTRICAL ❑PLUMBING
ANICA
BUILUING
SETBACK C $ .
SIDE YARD -
LSEDEVA
Sul LplNG -
PR OPERTV LA
-
. Address- - - - -
LICENSED CONTRACTOR DECLARATION_ -
I hereby affirm that I am licensed under provisions of Charter 9 (cam-
.l
.❑MECH
meneing..with. section. -7000) of I Division 3 of the Business and
❑ OTHER
.RIGHT
Professions Code, an - license is In full forte antl effect.
REAR YARD (TO P/L)
,/ w
PROJECT DESCRIPTION -
License Class '� 1 M License NO:
- -
• PKG. SPACE REQ.
_
'PROVIDED_
.Date Signature
SQ. FT' -
.-
- -
STREET WIDTH
--
.PARK FEE'; '
WORKERS' COMPENSATION DECLARATION
OCCUPANCY - - -CONSTRUCTION TYPE
I hereby affirm that 1 have a certificate of consent to self -Insure or a
.
VALUATIONZO NE
ZONING APPROVED BV-
DATE--
.certificate of Workers' Compensation .Insurance, or a certified copy
thereof (Section 38 0 Lab. C.).
GRADING CV. YDS. ACRES
_
SPECIAL -CONDITIONS:
Polity No. Company -
- - -- -
- -
titled copy is hereby furnished. a
- _
I REMARKS: ,
2"r
tifietl copy is tiled with the city Building Division.
PTION•FROM WORKERS' COMPENSATION DECLARATION
-
(This section need not be completed if the permit is for one hundrea
r
S$100) or less).
a
`.
certify that in the performance of the work for which this permit is
PLUMBING - PLAN CHECK' --
.. ... ....
.ELECTRICAL - PLAN CHECK - ^
Issued, -1 shall`noYemploy any person in anymannerso'as!a; ecome
subject to the Workers' Compensatlon Laws t_Call fornix. I9.
BATHTUBS' - 'SHOWERS -
-"DWELLING
-'
- '
Date Signature _���'"
NOTICE: If after making this declaration, you should become subject
TOILETS, -,,URINALS ' -
-
-GENERATOR 0-1' KW
1,10 KW
to the Workers' Compensation provisions of the Labor Code, you must
-
,TRANSFORMER
forthwith comply with such provisions or inlS permit shall be deemed
LAVATORIES DOUBLE LAYS
-
APPLIANCE 10-50 KW_50+KW
-
revoked.
KIT.SINKS - - DISHWASHERS-
MOTORS - '0-1 HP_1'-10'1`11
- -
CONSTRUCTION LENDING AGENCY - - - --
I hereby affirm that there Is a construction lending agency for the per-
SERVICE SINKS SUMPS - -• -
- - (INC. SOLAR). ]0-50 HP
50 + HP - -
formance of the work for Bch this permit is Issued (Section 3097
i
-. ..
FLOOR SINKS- - "' FLOOR DRAINS'FIXTURES
- OUTLETS
SWITCHES
Civ. C.). _ _ . - /W,hs - - - - -- - •-- -
Lender's Name ;U
`- Address* -'- - - -- - --- -
Lentler's
DRINKING'FOUNTAtNS' •- - - -'
-, - - -
GAS TUBE SIGNS -
-_ --_ --
OWNER BUILDER DECLARATION.
I hereby offirm that I am exempt from the Contractor's License Law for
INTERCEPTORS "' CLARIFIERS
-
-POLE LIGHTS
q
SWIMMING POOL - - PTRAP-
the. following-reason.(Section-7031.5 Business and Professions Code: -
Any city or county which requires a permit to construct, alter,
POLES METERED
SUB
Improve, demolish orrepairany.structure, prior to its issuance, also re--
WATER SERVICE -ALTERATION -
'PANELS 'MgIN -
SUB -
quires the applicant for such permit to file a signed statement that he
is licensed pursuant to the provisions of the Contractor.'S License Law.
GAS SERVICE - -- -' --- -
• -
SERVICE
AMP - -
(Chapter 9 (commencing with Section 7000) of Division 3 of the
OUTLETS
Business and Professions Code) or that he is exempt therefrom and the.
WATER HEATERS -BTU OUTPUT
-
— - -
- -
basis for the alleged exemption. Any violation of Section 7031.5 by
I
SEWER CONNECTIONS - - • -
- - -
- - -
-
an, 'npllcant for a permit subjects the applicant to a. civil -.penalty
of more then five hundred dollars ($500).
1y�q owner of the property,'or my employees -with wages as their-
SOLAR -TANK ' COLLECTORS
Sole cosmpensation, will do the work, and the structure i5 not Intended
or offered for sale. (Section 7044, 'Business and Professions Coder The
SOLAR PIPING SVS. -
-
ISSUE FEE-- - '-----
- - -_ - - --
-
Contractor's License Law tloe5 not apply to an owner of a property
-"ISSUE FEE-' -- -
-
iAPPLICATION-APPROVED BY
- -- - DATE -
who builds or Improves thereon; and who does such work' himself' or
through his own employees, provided that such improvements are not
-
-MECHANICAL PLAN CHECK
SUMMARY OF FEES
intended or offered for sale. If however, the building or Improvement
Is sold within one year of completion, the owner will have the burden
of- proving he did not build or improve' for the purpose of --sale).
HEATING SYSTEM 0-100,000 BTU
'BUILDING
50
_
5
❑ I. as owner _of- the property, am exclusively contracting with
AND DUCTING -�L
$
licensed contractors to construct the project (Section 7044, Business
100,000+ BTU_PLAN
CHECK E �
PERMIT I
and Professions. Code: The Contractor.'s. License Law does not apply to-
- -
_
- -- ISSUANCE- $ '
ISSUANCE -
an owner of property who builds or improves thereon, and who con.
REFRIGERATION 0-100,000 BTU
iPLVMBING $
-
tracts from such projects with -a contractor(s) .licesned. pursuant to
SYSTEM- - - -
-IPLAN
- GRADING $ s
the Contractor's License Law).
100,0001 BTU
CHECK $
ir�i, 1 A .
❑ 1 -am exempt under Section- - - B. & P. C. for this
-
$
BOILERS BTU
ELECTRICAL' $
reason.
Date Owner
_ _
SYSTEM REPAIR, �ERATIOW
EXHAUST SYSTEM MULTIPLE
_ _
PLAN CHECK $
MECHANICAL $
- MICROFILM $
_ TOTAL FEE .$
this application and stale that the above
I hereby certits that 1 have readagree
information is correct. I agree to •comply with all city and county
ordinances and sof laws relating to construction, a hereby authorise
rep
represents lives al this city to enter upon -the above mentioned
PLAN CHECK E
AD -
.,LESS AD- _
VANCEPC' $_
,. ��
'
property IOL Inspection p rposes. l} I�y�-ea1�P��
Signature Date ea�� a/
FINAL FEE $ -,—
_
Drivers' License or SS � /
I
ISSUE FEE
CMF 0865.46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor
° • r CONSTRUCTION AND" PLANNI G
APPROVALS Permit # ��� Date Inspector
POOL & SPA. ( -
Date Inspector `
APPROVALS Permit #
1.
Temporary Electrical Service or Pole
43.
Pool & Equipment Location
2.
SoilPipe-Undrgrn
44.
Steel Reinforcement
3.
Electrical Conduit Utility-Undrgrn
45.
Forms '
4.
Electrical Conduit-Undrgrn
46.
Electrical Bonding
5.
Steel ein orce
47.
Rough Plumbing & Pressure Test
6.
Electrical LIFER Grn
48.
APPROVALTO COVER-GUNITE
7.
Footings •-'6. 2
49.
Electrical Conduit-Undr rn
B.
Foundation
50.
Gas Pipe, O Undr rn, Test
9.
Water Pipe-Undrgrn
51.
Backwash Lines P -Trap.❑ Undrqrn
10.
Structural Floor System
52.
APPROVAL TO DECK
11.
' Property Sewer Line & House Connection
53.•�
B kwash & Receptor -Final
12.
Street Sewer Connection
54.
Heater & Vent -Final
13.
Rough Plumbing
-
14.
Rough Electric -Conduit
56.
Electrical -Final
15.
Rough Electric -Wiring -
57.
Solar System -Final
16.
Rough Heating & Air Conditioning
bd.
Fencing & Access Approval
17.
Ducts in Structure
APPROVED FOR PLASTERING
18.
19.
20.
Ducts, Ventilating
Gas Pipe -Rough &Test-
Roof Framing
-.60.
POOL/SPA SYSTEMS'FINAL
21.
22.
Roof Sheathing
Frame and Flashing
NOTES:
23.
Insulation
- -
24.
Lathing & Siding -
25.
Drywall Nailing
26.
Plaster Brown Coat
27.
Electrical Powei Meter -Final
28.
Final Electric -
29.
Final Heating & Air Conditioning
30.
Final Gas Pipe -Test
31.
Final Plumbing
32.
Water Service -Final
33.
Gas Service -Final
34.
Solar Domestic-rinFinal
35.
Landsca klin System -
e S
36.
Sound Attenuation
37.
Handicap Regulations
38.
FINAL STRUCTURE & BUILDING
39.
Special Requirements Completed
40.
Electric Release to Edison
41.
Gas Release to Southern California Gas'Co.
42.
CERTIFICATE OF OCCUPANCY
• No Date
�'RoyED
�WFeIR qD l4 O
s' oft.
k �Z
STRUCTURAL
SEPARATE PERMITS ARE REQ(
FOR ELECTRICA1, PLU61BiN
HEATI :G, VENT I 'TRIG All
REFRiGFRAT;Oid WORK
�@ 4'rA
li"e�"sa
THIS NU,.IS ;1
ALL HNISP_Ci;�.
FOR BUILDINSS
BE EMPLOYED, '..t � "a ST
STATE OF C.1:IFORNIA DPI
CONSULTED
IIIN
ph�r►1 `11 .'
City of Code Mew Building Dept.
THESE PLANS MUST BE ON JOB AT ALL TIMES
MAKE NO CHANGES WITHOUT PRIOR APPROVAL
OF DEPT.
THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL
OF PLANS AND SPECIFICATIONS SHALL NOT BE CONSTRUED
TO BE A PERMIT FOR, OR AN APPROVAL OF, ANY VIOLATION
OF ANY OF THE PROVISIONS OF THIS CODE. NO PERMIT PRE-
SUMING TO GIVE AUTHORITY TO V�JC t At ��(/�—, 6'�FFA�OErs'rAKL�
PROVISIONS OF THIS CODE SHALL D. T
FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL,
THE ISSUANCE OF A PEuHIT BASED UPON PLANS AND
SPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFICIAL
FROM THEREAFTER REQUIRING 14 LlaomlEC®K R oas
IN SAID PLANS AND SPECIFICATIONS OR jFROM
�yPREVENTING
BEING
N IVIOLATIONLDINGEOF, TTHIS CODE O��RiTN�EFft W�
OF THE CITY.
RESIDENCE
RESIDENCE
skz /
c /O° I-"'�
RESIDENCE
0/.�s
STREET LE
yu Ko L- 19 -✓E -
RESIDENCE
Q
L,
W
2
TYPICAL 411' CONCRETE BLOCK FENCE
TOP VIEW 3/8 Bar
4" Blocks 8"Blocks
1/4" 0 Pencil Rod Below Top
Course Of All Fences
4" Concrete Block Fence With 8"
Pilasters. One 3/8" Vertical Bar
Continuous From Earthtooth Thru
8' Pilaster.
3/8" Vertical Ties 2' Long
Hooked In Footing, And Grouted In
4 Blocks 4 O/C Maximum--
Provide Cleanout And Inspection
Hole At Pilasters.
"GENERAL =N'CT� S
MORTAR':. One�PorLt,V.P,lastic
Cementk An'd tiTtiree Parts,, -,Sand.
GROUT One,.Parjt1ZCem3e'nt, And
Three Andes Onelt!,Half-Pur,tss:Sand.
COPING: One.,Part' 'Cement,
Three Parts Sand..,
CONCRETE: Well--Mlxed.0:2c1/2,:
31/21,. Waximum;;0-7 I%2
Gallons .Of Water Per Sack
Of Cement
l i l l REINFORCEING STEEL SHALL
CONFORM TO SEC. A-15-39
A. S.T. M. ALL STEEL TO LAP
WHERE SPLICED, 2'-O"MINIMUM.
GROUT MAY BE POURED FROM
I ' I TOP OF FENCE IN CELLS WHERE
1 NATURAL GRADE-�'�'�'� o�''oo �ii'o•>°:;''O.'v""'O:'p`ai io,:'atl. �:.0�0�' VERTICAL STEEL OCCURS. HOLES
N r'c :P.i G, ji .r'. )'„Po o'o^... v::-oo P' -a.v. a1 SHALL BE CLEAR, CLEAN, AND
�; y.. o, n 'v. ri ',; o..s .y:•'., .b., ....I "oTT:bb..or�
FOR WIDTH SEE CHART—S j.'vti: b0 A _ _? 1 _� i o
:p_;o_�i ;.r e � e:'��:_ .��'_:�>_�a= I LQ:,��' yf_�f FREE OF ALL MORTAR, DEBRIS,
ECT. WITH INSPECTION HOLES
TWO 3/8 BARS CONTINUOUS lol .'e I TO 16"O.C. MAXIMUM 1 riff
AT BOTTOM. BOND SHALL BE
PROVIDED BY LAYING BLOCKS
FENCE MAY VARY
FROM 3' TO
IN HEIGHT
6'
1r0
i.'o
0.� DEPTH OF EARTHTOOTH 1/3
:'.,1 THE HEIGHT OF FENCE
�pO +:-i
IN STRETCHER COURSES SO
THAT VERT. JOINTS ALTERNATE
CHART
BOTTOM OF
6' ................
5...................
STEEL MUST
BE TIED IN PLACE
m�4'1�
..................
BOOT NG.ELOW
���
IN EACH COURSE.
AT TIME OF
TRENCH INSPECTION
LaC�
LlV -J
SCALE: 1/2'= 1'
City Of Costa Mesa,California
Building Department
Form Bina -2M -a -ea S -BP
OWNERS NAME: _ _ _ _ _ _ _ _ _ _ _ _ _ _
JOB ADDRESS+
PERMIT NUMBER:_ _ _ _ _ _ _ , _
SIGNATURE:
3
CLEARANCE FROM BOTTOM
CHART
HEIGHT.'.
6' ................
5...................
4.................
3'
WIDTH.. ....14
..................
14"..................12".
...............
12..
THICKNESS. ..............IO"................
IO"..................6"
................
8..
DEPTH OF EARTHTOOTH .. ....24'
. .. .............
20"..................
16................
12"
SPACING OF EARTHTOOTH....
12' ........
........ 14'..................16'...
............
16'
City Of Costa Mesa,California
Building Department
Form Bina -2M -a -ea S -BP
OWNERS NAME: _ _ _ _ _ _ _ _ _ _ _ _ _ _
JOB ADDRESS+
PERMIT NUMBER:_ _ _ _ _ _ _ , _
SIGNATURE:
IUWNtK TUMKF.R, ANPHOP
',JOB ADDRESS 3721 Yukon
'GENERAL CONTRACTOR Aix
AP No. 418-051-12 LOT 15
V SCTIONS
S
GAS
,WATER
ROUGH PLUMBING _
PROP. SWR. LINE ❑ HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER
ROUGH WIRING
TRENCHES ❑ FORMS 0 STEEL RE
FLOOR SYSTEM
BONO BEAM STEEL REINFORCE [
SHEATHING
FRAME AND FLASHING
LATHING —IN OUT
PLASTER, BROWN COAT
STRUCTURAL, FINAL
H IG, VENT., REFRIG. AND A.C., FI
PL,... dING, FINAL AND GAS TEST n
DATE
SUBCONTRACTOR
T
28369
*COSTA -MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92628
For Applicant to Fill In Completely
TYPE OR PRINT
COSTA MESA, CALIFORNIA
LIC. NO. G'O I' d JJLI I 1 NO. .'i,L 1 -
OFL Q yl /0 (j
OF LOT
I How
pp,�„ /n]
E%STT NG BLDG. J.F RF 4. -;• fl l l^
BKTBACK LINK FROM
CENTER OF RYRKKT REAR Y
SID[YAROI LEFT
I RIGHT
DESCRIPTION OF WORK
NALTHRATION
ADDI7
REPAIR
HL,OVING
APPROVE
DEMO'.
BUILDING NO. OF
1 HERROY ACKNOWLEDGE THATA HAVE READ THIS AFMICATION
AND STATE THAT TNR AROVK.IR CORRECT AND A*8118 TO COM.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS R[*U43IN*
RUILDINO CONSTRUCTION.. _ ..
AUTMORIZ[D AGENT
W 26-6t °3 1000 707 0*****5.00
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RKCIIPT NO.
P IT NO.
REcK O
D�nxcw.VK*
varaw.0 D
BUILDING
ADDR S l
FIR[
ZONE TYP GROUP
APPROVE
BY' ULDATE
ZONING
NO.OF
USI OF Nm
rLANe )�[[
OUILOINQ
LEGAL/
1�
A. P. NO.
NOTE: NO RAVE OVERHANG SHALL BE LESS THAN
80 -TO SIDE 9 REAR P,L
EAVES
ALLOWED (U. B. C. REQUIREMENT)
YARDSAPPROVED
YARDS APPROVED
MAIN BUILDING
ACCESSORY BUILDING
( FROMC/LST
FR NT
PT.
FT.
L. BID 3 (// FT.
FT.
REAR FT.
FT.
DISTANCE BET.
BET. MAIN e
MAIN BLDGS.
ACCESS. SLDGS.
VAR. it
DAT!
C. V.
APPROVED
APPROVEDfy
A
DATE,
SQ. FT.
THE AMOUNT SHOWN UNDER VALUATION IB FOR THK
PYRPORK OF KSTARLIRHING A PERMIT FEZ ONLY.
VALUATION
/
PERMIT FEB �-
a (/%" llPLAN
CHECK 5
S
TOTAL PEE
25425
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA OMNI
MAIL
For Applicant to Fill In Completely
TYPE OR PRINT
COSTA MESA, CALIFORNIA
I.S. Financial
San Diego. Calif. LEL.
SIZE
6O I
lOO 1
2542�5�
I NO. Or MLDGe. O
OF LOT X
Rp(ITEB i ln,
�j�J�j�Jjj��((
BUILDING
now
On Lot
USE OP
PIRG
/
ZONE TYPE GROU
EXISTING BLDG.
BY
DATE
"EMACK LINK FROM
ZONING
or
CENTER Or STREET
1
REAR YARD
371
BIDYARDI LEF
E T
rO
7 .6%1
LEGAL
I RIGHT
61
DESCRIPTION
OF WORK
1
EXTERIOR
1 HEREBY ACKNOW Wil THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM
PLY WITH ALL CITY ORDINANCES AND RATE LAWS REOULATIN
BUILDING CONSTRUCTION.
SIGNATURE OP ire.
PERMITTER - > -�
AUTHO/I 91Y.OA ENT
CITY OF COSTA ME'S'A
MAR 23 1966
)PLI&CAF* F)MIT
_SUKDINO-'—~'
For Office Use Only
REcuFr no.
2542�5�
RECE [DMT
-OA ROR VRD
Or
Rp(ITEB i ln,
�j�J�j�Jjj��((
BUILDING
ADDRESS
PIRG
/
ZONE TYPE GROU
APPROVED
BY
DATE
ZONING
or
uaE or NEw
Pulu
�
BmtDmG
LEGAL
DESCRIPTION
/
A. P. NO.
NOTE: NO RAVE OVERHANG SHALL BIL LESS THAN
30' TO SID[ a REAR P. L.
RAVES
ALLOWED
(U..B. C. REQUIREMENT)
YARDS APPROVED
YARDS APPROVED
MAIN BUILDING
ACCESSORY BUILDING
1 PROM C L STR L'19
��
FRONT t/m.
FT.
R. SIDE �b/
FT.
L.9109 FT.
FT.
REAR Fr.
Fr.
DISTANCE BET.
BET. MAIN a
MAIN BLD
ACCESS. BLDGS.
VAR.*
DATE
C.U.P. n
APPROVED
APPROVED
-��
eT
DATE
hBQ.
PT.
C%
THE AMOUNT ENOWN UNDER VALUATION IS FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
VALUATION
6,0
PERMIT FEE
q
PLAN CHECK 5�
51 �5 3 J
5
TOTALFEB