HomeMy WebLinkAbout3157 YUKON AVE - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITXCIF COSTA M SA CONST UCTION PERMIT PERMIT NQ. TRACT NO. LOT NO. UNIT NO. •
15'x- UKOrJ 8 28'-¢/ 1 7728 5/12/87 170n Project Address 1, rye ` n
Applicant's Mailing Addras �� TAT 11 DU ��11.7'OFi TYPE OF CONSTRUCTION NEW U ADD LJ ALTERATION H REPAIR •
(
• r�s ❑ CONVERSION ❑ DEMOLI H ❑ OT R q•p•# _ Zone
Owner's Name VS'i L • ea Phone9 0ES R NOF WORK/USE of BLDG.
Address i� 1 IA -t) Ij1 QrJ Z S Main Building: Accessory Building:
Arch/Eng. ;-t�f an Lcen a N[pr��� s� TYPE OF PERMIT Li GRADING H FOUNDATION ❑ STRUCTURAL E Front O
AddreS�SA-- - :r7� -G9-")LCL IJ ` ID TENANT IA
`❑/PLUMBING El MECHANICAL B Rear N
Conlrac�AVum au �L-� Ate Phone �7 , `&BOTHER U 1Lt)IQ A I
.rJ i. .&G PROJECT DESCRIPTION SQ.FT. OCCUPANCY C Right N
Address(mailing) Aria _ �----��''yy��
•��+�� 3/35-3 CONSTRUCTION TYPE VALUATION$ S:CD $ Left R
City License No. ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION n Ping. Ref.# Parking Req./Provided E
I hereby affirm tht I am licensed under provisions of Charter 9 (commencing Remarks: / Z L.•V (� L• >�Y�I 6 "T Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code,and / •
my license is in a f•r e and off•ct. �I /,� /Goo a 4/3A • _ T
License lass License No. i• /�
(lb Date Li Signature 4111e47.46--- IYi��u PLUMBING FEES
WORKERS' COMPENSATION DSCLARATI• N 6 -
I hereby affirm that I have a certifi •to of consant to self-In4 a or a certificate Bar Sink Showers ELECTRICAL FEES
'•Workers' Compensation Insuranc', •r a ertified copy thereof (Section - ~—
10, Lab. G_1 1 Backflow Preventer Service Sink Automatic Washer Transformer 0 15.50 KW
olicy No. /-'-q-al co I Company ..6.-TS Idf Backflow Irrigation Sewer Cap0 50+KW
� . rotted copyfurnished. Construction Pole Sub.
• is hereby
a orbit¢• +• Is ti -• with the cit Asir. .Ivisl•n, Bathtubs Sewer Connection CookingUnit • Meter
'Date • Applic. s j ❑Up to 100 amps
!�.\i /.ate J v
EXEMPTION FROM WORKER COMPEN-•TION DE#A- TI• Clarifiers Solar Collectors Dishwasher Meter Cover 100 amps
(This section need not be compi'ted if the per it Is for hu-•red ($100) or
less). Dishwasher _ Solar Piping Dryers ❑Gas DElectric Sub Panel
I certify that in the performan•e of the work or which this permit is Issued, I
shall not employ any person i any manner so as to become subject to the Drinking Fountains Solar Tan Fan
Workers' Compensation Laws of : 'fornia. Motors 00-1 HP S 1%-8
Date Signature Floor Drains Swim,' ng Pool w/Spa F.A.U.—
olar • '-15 HP ❑16.15+'
NOTICE:If,after making this declaration,you should become subject to the �� - -
Inc..
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks
i°al
comply with such provisions or this permit shall be deemed revoked. Fixtures Micro - e
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet 'Device Boxes
I hereby affirm that there is a construction lending agency for the performance Ps e Light
of the work for which this permit is issued (Section 3097 Civ. C.)
Interceptors Water Heater Outlets
Lender's Name Range
Lender's Address Kitchen Sink Water Service
OWNER BUILDER DECLARATION Switches • Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays Generator ❑0.5 KW 5-15 KW
any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of
Roof Drains
the Contractor's License Law(Chapter 9(Commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/she is exempt -
•^^refrom and the basis for the alleged exemption. Any violation of Section
'1.5 by any applicantfor a permit subjects the applicant to a civil ,
pity of not more than five hundred dollars($500).
co I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 ,
compensation, will do the work,and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3
for sale (Secion 7044 , Business and Professional Code:: TheThe Contractor's MECHANICAL I FEES
License Law 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 - _-- — DEVELOPMENT SERVICES REQUIREMENTS: '
employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0
sale. if, however, the building or improvement Is sold within one year of corn- - Canopy Type II ❑ Zoning Approved By - Date
pterion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
prove for the purpose of sale). Building Approved By 1 Date 1/2. `U
7
❑-I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By
tractors to construct the project (Section 7044,Business and Professions Code: Date
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 B 100,000 BTU '
builds or improves thereon, and who contracts for such projects with a con- SUMMARY OF FEES
tractor(s) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ /2 ' O D SMIP $
PLAN CHECK $ W '
proof of their Worker's Compensation insurance should be provided to me. Exhaust System ❑ Multiple❑ Syste ¢pair/Alteration
� PERMIT
❑ I am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG# ire Dampers PLUMBING $ ISSUANCE $
Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that-1 have read this application and state that the above ❑0-100,000 BTU 010 0BTU GRADING $
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $
and state laws relati • to building co struction, and hereby authorize epre- - MICROFILM $ •
sentatives of this to ent.r up n the above-mentioned pro ert for PLAN CHECK 50% $
Inspectio•''''' .e� - MECHANICAL S TOTAL FEE $ it OT
Signetarr./PL.! • Agars Data
Drivers' icense or 11011SII`: Reins ¢tion Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 08;,-46,rev. 10/84 White - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL&SPA •
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
+
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55..Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical LIFER 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 - y '17
26. T-Bar Ceiling (Structural) &'Monbcoat 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 .....
7.
•
37. Final Factory Fireplace •
38: Final Plumbing • - - - ..
39.'Water Service-Final f - -
40. Gas Service-Final - •
41. Solar Domestic-Final - -
42. Backflow Preventer
143.•Backflow Irrigation • - '
44. -i'andscape Irrigation System y - .
45. Sound Attenuation ' _ - - - -•
46. Handicap Regulations
47.. FINAL STRUCTURE & BUILDING ��� i- - •.
48..Special Requirements Completed J// -
49. Electric Release to Edison - -
•
50. Gas Release to Southern California Gas Co , • + *I
51. CERTIFICATE OF OCCUPANCY . r % ff
No. Date •
dog% haa, �i{r!�
11/2°x 4' D.F.Curb
IP' %' •• . /Metric- . SpyCcc/%,e-T -
11,1' Mastic' ;
> /41(1i>.-
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ea
a. TT
•• • i \I` ilIilI� \ rit
��
CornerShin le . %
lie• 1 \� 1 " `
Cut From AB' x12' t. • 2X •., : 'Galt'.Metal Shingle {U��\, lik
,rte •
B' x 12' Galt'.Shingles •• ; , . a ir< I Ir.- `� / ` _'
..„.........>„
Sealant I I I� z� �� ��� � i \
�1 am_ /APP V. 2 ZZ44� I j ^.....
.1i�, Vi .\ .• _till.%Ails.\\,, Kay A Costa McSa.9t iiria Dept;. l-.:
\� -t ;`i pglE1VIC �Li iJ�ars�c. Son7sr
E ANS MUST RE :,N ' `$rkT,AUL TIMES MAKE ����� ' .;•�'�•" ��
NO r HANGES WITHri' 'PRIOR APPROVAL OF DEPT: ` + ,,P,'
`fr.,bs\i CE R GPM r P.11/4.'IT OR APPROVAL OF11 t r
• SII '4
PLANS AND 5%"lF!CAT:Or �,.. T EE�'JNSTRUED TO BEA ..,i ' J� "S:'
PERMIT FOR, f R AN AP ti /7 At Y VIOL\TION OF ANY OF. ) '.
THE PROviS!• OF ,>•r II'�� ' l t FR SLIMING TO GIVE ..•��•. . r•„ �-
MO, I ! 1. PRO ISIONS OF THIS Jt (' 1
CODE SNAA SF.VAL L . II II II! AR AS TI E WORK OR USE •W ®
',• r t+••%!� ,LTq i 7R'• a,{ t''
�'. 'ar e, r it
,r - WHICH IT Al TH.URrr 5 II '1 t int. ,.;, 0,...' • .4 J :`�:",,
THE ISSL:P -= -� ' 440 i' ON PLANS AND !i �`.ti• .. ' ki •
\ isirO._' O
..�D ON THEREUNDER WHEN :•
IN VIOLATION OPERATIONS ' f- �' (�' J__
IN OF THIS CODE OR OR+FNV.OTHEA ORDINANCE OF 1 I F = .
a
r � �
_ - •AB TITLE• Ca? _ /... uC._4 .•'• ' •.'., 'CONTRACTOR OQDEB NO. ' •' V; . ••
V.
�• _ 72C2 Y2-i/t oAi /�G_ DATE •.� •. �/
r C N'7, _SEE ICBG RESEARCH REPORT NO. :9/22
• ��t.
_ T rnrinur.ual -.. -- —"�' r .
•_F.. , A .. r
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
OFQOSTA.7v MESA'/ C(�]��T$TRUCTIO PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. A P # Zone
.ject Address 5/B I•
/ , Ve. Sip As
°t?
S Main Building: Accessory Building:
Applicant's Mallin Address 34/9 E. OL ,..q ir, g�✓� L,ry, r F CONSTRUCTION U NEW U ADD ALTERATION U REPAIR E Z
O / 0 CONVERSION 0 DEMOLISH ❑ OTH R T Front o
Owner's Name 0.) kris a Lj Phone 7/Y•Y79-YG/`1 1
,/ ,/ DESCH IPTIO O/FtWORK/USE OF BLDG. _ - '1 B Rear N
Address _ 3/S 7 /LrL-on 4.c. C a to hlfr. /Tn alt/9 4 • s4..rr I Gyro T'l ic10 ? - . A
{B`�'� f Cry C Right N
�\Arch/Eng. License No. TYPE OF PERMIT LJ GRADING U FOUNDATION LJ STRUCTURAL ! K G
I Address 0 TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL $ • Left • R
I T *POTHER a .. o ts Ping. Ref.# Parking Req./Provided E
Contractor's Name �"e"e-Pho 20-.2L3-9k97
'1 PROJECT DESCRIPTION SQ. FT. OCCUPANCY A - _ 0
Address(mailing/3`/p E' 01. -. et- ✓C7. i- S1.O W3Planning Notes: M
City License No. �'1�7�{-� 4
CONSTRUCTION TYPEN. VALUATION$ 0 1� T
t ZONE GRADING CU.YDS. ACRES S.
pop LICENSED CONTRACTOR DECLARATION
I hereby affirm I am licensed under provisions of Charter 9 (commencing Remarks: Rantocip ���
with section 7000)00) of Division 3 of the Business and Professions Code,and
•
my license is In to I f rce and effect. O Z ELECTRICAL FEES
License Class Lice se No. Automatic Washer Transformer 0 15-50 KW
i� Date ^'2 Signature _. PLUMBING I FEES 0 50+KW
WORKERS' COMPENSATION D LA-ATION Construction Pole Sub. •
I hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers
/� �f Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter Dup to 100 amps
1 300, Lab. C.) p�•� -/,_y� r
ty� olicy No. O?Q3 ax -p d Company StY/e /^Vn/ Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps
—
1Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel -
Certified copyy filed with the city Building Division. Bathtubs Sewer Connection •
7-....n^Date �- ^R Applicant FanMotors 00.1 HP 01'h-8
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors
(This section need not be completed if the permit is for one hundred ($100) orSolar ❑9-15 HP 016-15+
F.A.U.F
less). Dishwasher Solar Piping AU
I certify that in the performance of the work for which this permit is issued I Fixtures
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave
Workers' Compensation Laws of California. DeviceB
Date Signature Floor Drains Swimming Pool vv/Spa/SpaPole Light
NOTICE: it,after making this declaration, you should become subject to the Outlets
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Range
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCYSwitches Sign Gas Service Outlets Water Closet g
I hereby affirm that there is a construction agencyfor the performance
p
of the work for which this permmitt issued (Section(Secction 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections
Lender's Name
Lender's Generator 00-5 KW 05-15 KW Trash Compactor
Kitchen Sink Water Service
OWNER BUILDER DECLARATION
I hereby affirm that I amon exempt31.5from the Contractor'sioLicense Law for the Lavatories Auto-Wash •
followingute ction t.t Businessonconstruct,and
,alter,Primprovle,
Code: Any cry ar _
county r which requiresrioa permitissuance,
c ,al oruct, Improve, such or
repairmitP-Trap Laundry Trays
any structure,Signe, prior tom its hat he/, also requires the applicantto for rovi ions of
to file a statement that he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law(Chapter 9(commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/she is exempt • _ Reinspection Fee $15 Issue Fee $ 3
'herefrom and the basis for the alleged exemption. Any violation of Section
)31,5 by any applicant for a permit subjects the applicant to a civil
nalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
ii I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure Is not intended or offered Zoning Approved By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date
License Law 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 , Application Issued By c t oat: ^ «-1-
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OFF ES
pleotion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground -
prove for the purpose of sale). BUILDING PERMIT $ /.2...f.• 0 SMIP $ • /�-7
1-
I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK
tractors to construct the project (Section 7044,Business and Professions Code: - $ ' PERMIT
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTUPLUMBING $ ISSUANCE $
builds or improves thereon.and who contracts for such oroiects with a con-
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple❑ System Repair/Alteration I PLAN CHECK 25% $ ENERGY P.C. $ _
proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL
PLAN CHECK 50% $$ GRADING $
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers MICROFILM $
�
Date Owner Heating System& Ducting Registers MECHANICAL $ 1 2-6', N.
hereby certify that I have read this application and state that the above ❑O-100,000 BTU 0100,000 BTU TOTAL FEE $
Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $
and State laws relating to building construction, and hereby authorize repre-
sentatives of this taro apser upgn the above-mentioned property for
Inspection pu ,/ //----L_/ �� ops
Signature V//.- ...'---/y,�/-
Reinspection Fee $15 Issue Fee $ 3 O1 0001.437 0001543E T17T 126.74
Drivers' Li nse r SS# c
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: [19/26!88 TIt1E: Ib3I1
O \ ••
ONSTRUCTION AND PLANNING POOL PA
APPROVALS Permit# Date Inspector APPROVALS Permit/ft Date Inspector
C3. Temporgry Electrical Service or Pole . - 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
.
-3i Electrical Conddit Utility-Undrgfnd. 54. Forms
4. Electrical Conduit-Uridi'grnd. 55. Electrical Bonding
5. Stpel;Reinforcem¢nt 56. Rough Plumbing & Pressure Test
•6.. Electrical UFER IGrnd: • 57. APPROVAL TO COVE R-GUNITE ' .
T. Footings 58. Electrical Conduit-Undrgrnd. I
8.'Foundation l59. Gas Pipe, 0 Undrgrnd.,Test
9..Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, D Undrgrnd. '
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line'& House Connection 62. Backwash & Receptor-Final
12. Seer Cap 63. Heater& Vent-Final
13. Roof Drains ; j 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
16715. .ough Electrical:Conduit 66. Solar System-Final
16 ough Electric Wiring
. Fencing & Access Approval •
1J! ough 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 DOil
• •
23. Gas Pipe=Rough &reit •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 8( Siding 77. FIXED SYSTEM FINAL
29. Insulation _ 78. FIRE PREV. FINAL
30. Drywall'(Jailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat' 79. FINAL INSPECTION
32. Electrical Power Mefe'r-Final 80. FOOD CERTIFICATE ISSUED
33. Final Eleciric Notes:
34. Final Heating & Air Conditioning �� , /y ,1
O() 10- q-
D- q- ' -Jef-
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing •
39. Water Service-Final '_a
40. Gas Service-Final '
41. Solar Domestic-Final
42. Backflow Preventer , / •.• 1 t
43. Backflow Irrigation •
, t
44. Landscape Irrigation System
45. Sound Attenuation 1
46. Handicap Regulations \
47. FINAL STRUCTURE & BUILDING 1 o)aT/2��-D (�/.7"-
r
48. Special Requirements Completed 1
49. Electric Release to Edison •-•
50. Gas Release to Southern California Gas Co : '
51. CERTIFICATE OF OCCUPANCY
It
No. Date
2•1
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
I
PERMIT NO. TRACT NO. LOT NO. UNIT NO.
CITY.-COSTA M SA CONSTRUCTION PERMIT C9 A.P.# I zone
Prolef" IresS '57 YuroN AVE.E. 3S
V. _ S4MC - S Main Building: Accessory Building:
Applicant's Mailin Address a TYPE OF CONSTRUCTION U NEW &ADD U ALTERATION U REPAIR E Z
�,vV R. i ASc� ciq^sa ❑ CONVERSION ❑ DEMOLISH Front Cl
Owner's NameQf /C L/T Phone7 7 DESCRyPTION OF WORK/USE OF BLDG.T Sky,/'sjil riN Sjd��O�I d/9 B gear N
Address S 7 yll�CON 4v4 a. xW f 2� Ba 4•IS $ y frail
A • I
IJ STRUCTURAL C Right N
Arch/Eng. License No. TYPE OF PERMIT ❑ GRAPING FOUNDATION G
Address /n� El TENANT El ELECTRICAL ❑ PLUMBING El MECHANICAL s 1 Left R
Contractor's Name mPhone El OTHER Ping. Ref.# Parking Req./Provided E
PROJECT DESCRIPTION SQ. FT. OCCUPANCY 3 a
Address(mailing) Planning Notes: M
CON STRUCTION TYPE ,s - VALUATION $ T
City License No. ZONE GRADING CU.YDS. ACRES S.
LIC TRACTOR DECLARATION fin{- /��
I hereby affirm tha licensed under prosiness Charter 9 (commencing and Remarks: Mo rti 11- Q ' ri 9 rc or 7 sr ej
with sectionis n full o/ aDiv,
of the Business and Professions Code, and , r vT' ELECTRICAL FEES
my license is in full force and effect.
License Class License No.
Date Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW
- WORKERS' COMPENSATION DECLA: •TION Construction Pole Sub. 0 50+ KW
•I hereby affirm that I have a certific- of consent to self-insure or a certificate Bar Sink Showers
Workers' Compensation Ins . cc, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter Our)to 100 amps
DO, Lab. C.) -
rolicy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps
8 Certified copy is h' •y furnished. Dryers ❑Gas ❑Electric — Sub Panel
Certified copy i led with the city Building Division. Bathtubs Sewer Connection
Date Applicant Fan Motors 041 HP 01.%:8
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors
(This section need not be completed if the permit is for one hundred($100)or Dishwasher Solar Piping F.A.U. Inc.Solar ❑9-15 HP ❑16-15+
I certify that in the performance of the work for which this permit is issued, I Fixtures Microwave -
shall not employ any person in any manne as to Coe ) ubject to the Drinking Fountains Solar Tank
Worker Co pe C Laws of Californi
Js&-sgPer '8p Device Boxes Pole Light Date Signature — Floor Drains Swimming Pool w/Spa 9
NOTICE: If,after making this declaration, you shout come subject to the Outlets / Range
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 1
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service OutletsWater Closet Switches Sign
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.) Interceptors Water Heater Garbage Disposal Standing Sections
Lender's Name
Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays
any structure, prior to its Issuance, also requires the applicant for such permit
to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law (Chapter 9(Commencing with Section 7000)of '
Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee I $15 Issue Fee $ 3
refrom and the basis for the alleged exemption. Any violation of Section .
� =r31.5 by any applicant for a permit subjects the applicant to a civil
3lalty of not more than five hundred dollars ($500). DEVELOPMENT SERVICES REQUIREMENTS:
as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 Zoning Approved By •
ompensation, will do the work,and the structure is not intended or offered II _ Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved B Date
License Law does not apply to an owner of a property who builds or improves _ � p r5.•�
thereon, and who does such work himself/herself or through his or her own Application Issued By est..... Det°-- ^
employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I ❑
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMM Y'OF FEES
pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground
prove for the purpose of sale). . BUI LDING PERMIT $ • °'v SMTP $ •. S0
0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System '/d✓�pLAN CHECK $ PERMIT
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 Duct-Ventilating 00- 00,000 BTU 0100,000 BTU PLUMBING $ _ ISSUANCE $
builds or Improves thereon. and who contracts for such oroiects with a con-
tractor(s) Multiple0 license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 m Repair/Alteration PLAN CHECK 25% $
proof of their Worker's Compensation insurance should be provided to me.
❑ 1 am exempt under Section B P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers ELECTRICAL $ GRADING $
�^ _ PLAN CHECK 50% $ MICROFILM $
Date Owner Heating System&Ducting Registers MECHANICAL $ TOTAL FEE $
/-r:I hereby certify that I have read this applicat' n and state that the above ❑0o-100,000 BTU al 00,000 BTL -
Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $
and state laws relati to building con truction, and hereby authorize repro-
sentatives of this it to u the ab ve-mentioned property for
inspection purpo Date 9rir '
Signature
Reinspection Fee $15 Issue Fee $ 3
'\ 00100014014-00Q14015: 13:06 15.50
0865-46,rev. 5/88 White - Builtling: Canary -Applicant: Pink -Accounting; Goldenrod - Assessor O
I 1
,CONSTRUCTION AND PLANNING POOL .,PA
Date Inspector Date Inspector
�PPRO VALS Permit# APPROVALS Permit#
I.
1. emporpry Electrical Ser\ice or Pole _ 52. Pool & Equipment Location
2. Soil.:Pipe-Undrgrnd. i ) �,
53. Steel Reinforcement rr •)
• 13t Ele&trical Conduit Utility-Undrgrnd. 1'i 54. Forms I- ri
4i Electrical Condtiit-Undrgrnd. 55. Electrical Bonding
5r Steel Reinforcement 'i 56. Rough Plumbing & Pressure Test ,- ' `
,
Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ;,) 4.
7. Footings r�
..,..4,2 58. Electrical Conduit-Undrgrnd. rr ')^
8. Fotjndation ;.;5 59. Gas Pipe, 0 Undrgrnd.,Test ,• .�
9. Water Pipe-Undrgrnd. .. 60. Backwash Lines, P-Trap, 0 Undrgrnd. s 5 i)
Ni
10. Structural Floor System :�' 61. APPROVAL TO DECK
1'1, Property Sewer Line & House Connection i, ' 62. Backwash & Receptor-Final i
`
12. Se'wer Cap ' 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final ,�
r'
14. Ro4gh Plumbing 65. Electrical-Final "+I
15. Ro65h Elect.;cal-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
•17. Rough WirindSign 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 ' I „ 71. Product Piping 0 Gas 0 Oil
.
23. Gas Pipe,-Rough & Test 72.E 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. Frarpe;and Flashing 76. Dry Standpipe
28. Lathing Siding 77. FIXED SYSTEM FINAL
29. Insrilation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat , I 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 I �',,
,
42. Backflow Preventer r
43. Backflow Irrigation ,
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations f .'r
47. FINAL STRUCTURE & BUILDING 9('1 IK /.N'
t 48. Special Requirements Completed ` v
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co '' i
51. CERTIFICATE OF OCCUPANCY ,.
No. Date
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY,OF COSTA MESA ' PERMIT-NO. TRACT NO LOT NO. BLDG.NO. 9336- 12/10/81 2I .95 IL
-CONSTRUCTION PERMIT 6-,o-p-d' -' -7OIt' Zt/- t •--_ I.i .1. - i i - '
Project Address 3Ls'] (/uzo i 4 yt TYPE OF CONSTRUCTION ,.
Owner .7r1� f• ,R Sem Phone 9n. ?opt! 0 NEW I 9JADD 0 ALTERATION • ° )
Address Z/.S7 /ot A✓e 0 REPAIR 0 CONVERSION ❑DEMOLISH ZONING REGULATIONS
Arch/Eng. " 'License No37540 0 OTHER q _
Address l DESCRIPTION OF WORK�/ kO/ /4e G. 14.JLar!ON - A-P' � 3 nCI � 6 3
—C,iP/ j W1/A �OcsCG.IIJ// fe.JC' ti ZONE /l / PLNG. REF.3<
VI Contractor G6 /yksde tv - Phoneg7/.OS// TYPE OF PERMIT -BUTLbrl4 T'p gt/tt plry9
_ • SETBACK C/4 ST. PROPERTY LINE
Address a3Os W . /�O a1 A(//G S4;viq/�„ 0 GRADING 0 FOUNDATION TZSTRUCTURAL ' &��P VARD / / ,z,�'
LICENSED CONTRACTOR DECLARATION & 71 Or Ahol4 AL
I hereby affirm that I am licensed under provisions of Charter 9(corn- ❑TENANT 0ELECTRICAL ❑PLUMBING ❑MECHANICAL RIG YARD
Clu mencing "with section 7000) of Division-3 of the -Business and 0 OTHER s _ _ RIGHT
Professions Co and my license is In full force and effect. REAR YARD(TO P/LI I „
Cot and
License No.3773G/r PROJECT DESCRIPTION
License ClassPKG.SPACE REQ. PROVIDED
•Date /7 -/O Si nature -- SQ.FT.'. -r _
WORKERS'COMPENSATION-DECLARATION OCCUPANCY CONSTRUCTION TYPE STREET WIDTH PARK FEE S
I hereby affirm that have a certificate of consent to self-insure or a ,/� z ' ZONING APPROVED BY '��,//G)5,5f -DATE n
'certificate of Workers' Compensation Insurance, or a certified copy VALUATION ,(I�7 — 'ZONE _ fir, / - /����'�P/
thereof(Se$tion 3800, b.CSPECIAL CONDITIONS:
Q Q243S-� I.J//Y/s3 ••(1s'G/I�I GRADING CU.YDS. r • ACRES
PolicyNo Company • - - -
❑Certified copy-is hereby thehed.furnished.. - - - - REMARKS: -'/ -/ lif /• _ . Ltd"_fL1 .
❑ Certified copy Is filed with the city Building Division. (,�1 �j eJK- ls1TLK
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION -n/ `1 /j - - •-- - - - I
(This section need not-be-completed if the permit Is for one hundred I/Jj - -
(5100) or less). - - -
I certify that n the,performanceIof the work for which this permit is _
issued, I shall not employ any person in any manner so,az to become PLUMBING - • - _ _PLAN CHECK ELECTRICAL 'PLAN CHECK • _
subject t the-Workers Compensation-Laws of California. - UWELLI ryta bH RHbE
Date /� Signature l BATHTUBS SHOWERS SO FT SO FT '•
NOTICE: If after making this declaration, you should become subject TOILETS- _ URINALS • - GENERATOR 0-1 KW_ KW l
to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER '
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS .._ APPLIANCE 10-50 KW —50 + KW' -'
_revoked.- - •- - _ - _ _ ._ .- _ '
CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS 'MOTORS 0-1 HP_1-10 HP - _ '-
I hereby atfirm that there is a construction lending agency for the per- SERVICE SINKS - SUMPS -- (INC.SOLAR). 10-50 HP - 50-+HP - - -
formance of the work for which this permit is issued (Section 3097 . : . - I ,
- FLOOR SINKS FLOORDRAINS • - FIXTURES OUTLETS SWITCHES " •' - ' •
_Lender's_Namo __ . I .. I
Lender's Address DRINKING FOUNTAINS I' GAS TUBE SIGNS - - - -
-OWNER BUILDER DECLARATION -- INTERCEPTORS CLARIFIERS i - POLE LIGHTS - - -
I hereby affirm that I am exempt from the Contractor's License Law for
'the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP - - LUNSINUL IIUN - -
Any City or county which requires a permit to construct, alter, POLES METERED SUB - '
improve, demolish or repair any structure, prior to Its Issuance,also re- . WATER SERVICE ALTERATION PANELS MAIN ---- SUB
quires the api licant for such permit to file a signed statement that he
is licensed pursuanfto the provisions of'the Contractor's License Law GAS SERVICE OUTLETS - SERVICE - •- - - AMP -"
(Chapter 9 (commencing with Section 7000) of Division 3 of the -
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 ' '
any-applicant for a Permit'subjects the applicant to a civil penalty' - SEWER CONNECTIONS ' ' - ' - - - --- - - - -
of not more than live hundred dollars (5500). 1
0 I, as owner of the property,or my employees with wages as their SOLAR TANK COLLECTORS '
-sole.compensation,.will..do the work,and-the structure is not intended
or offered for sale. (Section 7044, Business and Professions Code:The SOLAR PIPING SYS. - - ISSUE FEE -
Contractor's-License Law_does not apply to an-owner of a property _ _ _- -- '
who builds or improves thereon, and who does such work himself or ISSUE FEE 'I - - - -APPLICATION APPROVED BY
through-his own employees, provided that such improvements are not - • '
intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK
is sold_within one year of completion, the owner will have the burden SUMMARY OF FEES
of proving he did not build or Improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU BUILDING /� 571
-❑ I, as -owner of the property, am exclusively contracting with - PERMIT $ SMTP S
--
licensed contractors to construct the project (Section 7044, Business AND DUCTINGp I� •
P I 100,000 + BTU PLAN CHECK E y �..1 PERMIT' ,f
and )ions' The Contractor's License Law does not apply to - - ISSUANCE S- _
an ownercaner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING E r 'I
tracts from-such projects with a-contractors)-Iicesrled pursuant to SYSTEM - '- - .. -- - • - - GRADING E '
the_ Contractor's License Law). 100,000+ BTU r • PLAN CHECK 'E
❑ am exempt untlei Section - B.& P.C.for this BOILERS BTU ELECTRICAL $ . . E
reason - - --- -- - - - - -- - •PLAN CHECK $
- MICROFILM $
SYSTEM REPAIR,ALTERATION
Date- - -- Owner - - TOTAL FEE$ '
I hereby.certifythat I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL E -
LESS AD-
information is correct. I agree to comply with all city and county - PLAN CHECK S - - - VANCE PC E_
ordinances and state laws relatln9.to construction,and hereby authorize • r /
representative of this city to enter upon the above mentioned " '
property / )uloid purposes. _ e
Signature = // Date /Z -bp FINAL FEE E
Drivers' License o SS - 'ISSUE FEE - - - - - -- - - - - - . -- - - -_
CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNINGQQ �If� '- POOL&SPA
APPROVALS Permit# '9'.2OQ0 Date Inspector APPROVALS
Permit# Date Inspector
1. Temporary Electrical Service or Pole 43. Pool & Equipmentt-Location -
2. Soil Pipe-Undrgrn 44. Steel Reinforcement _• • •
3. Electrical Conduit Utility-Undrgrn : • • • _ - .- _ - - 45. Forms
4. Electrical Conduit-Undrgrn - 46.. Electrical Bonding
5. Steel Reinforce 091 /.2-?q-Si 47. Rough Plumbing & Pressure Test
6. Electrical UFER Grn \ 48. APPROVAL TO COVER-GUNITE '
7. Footings J>S II-//AYR/ 49. Electrical Conduit•Undrgrn
8. Foundation 50. Gas Pipe, O Undrqrn,Test . ,
9. Water Pipe-Undrgrn 51. Backwash Lines, P-Trap.-D Undrqrn • -
. 10. Structural Floor system 52. APPROVAL TO DECK • - •
•, W .; -Property Sewer Line&•House Connection 53._ 'Backwash & Receptor-Final
12. Street Sewer Connection 54. Heater &Vent-Final _ .
13. Rough Plumbing 55 • Plumbing System • Final - - - • _"
14. Rough Electric-Conduit -- - - - - 56. Electrical-Final
15. Rough Electric-Wiring 57.. Solar System-Final
16. Rough Heating &Air Conditioning 58. -Fencing&Access Approval
17. Ducts, in Structure 59. APPROVED FOR PLASTERING
. I
18. Ducts, Ventilating , •
19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL
20. Roof Framing
21. Roof Sheathing
22. Frame and Flashing NOTES:
23. Insulation
24. Lathing & Siding
25. Drywall Nailing
26. Plaster Brown Coat
27. Electrical Power 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-Final
35. Landscape Sprinkling System
36. Sound Attenuation _ . ..
37. Handicap Regulations
38. FINAL STRUCTURE& BUILDING _TY5 f.2-1`I^t[
39. Special Requirements Completed
40. Electric Release to Edison
41. Gas Release to Southern California Gas Co. ..
•
42. CERTIFICATE OF OCCUPANCY
No_ Date •
Applicant to fill in, 11 spaces except those within heavy border lines and sign all appropriate declarations. • N
COSTA MESA CONSTRUCTION PERMIT PERi�'No. {7 S—a ?t TRACT NO. LOT NO. UNIT NO. •
b 6796 12/16/86t 15e50 TL
ddress 3157107 AVE eO / U R1yla((
'Applicant's Mailing Address 7770 S r DRIVE TYPE OF CONSTRUCTION U NEW LJ ADD U ALTERATION L'R'REPAIR f
❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p,# Zone
Owner's Name + 1Mr Phone_. DESCR IPTIQ`OF WORK/USE OF BLDG. F 7rm <A 1��
Address 3157 Jg[tJ A E A T.:e , s • _a, „N_ - [ • i u /_.101 Il • ':• S Main Building: tr�1 ,' Accessory Building: Z
Arch/Eng. . License No. .97r- "Cte/ TYPE OF PERMIT -� GRADING I♦ FOUNDATION STRUCTURAL T Front R_vEWF r. 0
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ •
MECHANICAL B Rear • Pr ' 5 �np. N
CAL 7A ROOM:NG 978=2668- ❑ OTHER `\ A 986" I
Con tractor's Name Phone C Right N
• 220 S DUPONTDRIVEPROJECT DESCRIPTION' SG.NF7. 75_00 DCCUPANCV'cprwvy.�crw G
Address(mailing) CONSTRUCTION TYPE VALUATION$ 3oUV.V Left •
S
CityLicense No. 027633 . R
ZONE GRADING CU.YDS. ACRESE
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided -
Q
I hereby affirm that I am licensedunder provisions of Charter 9 (commencing Remarks: Planning Notes: M
with section 7000) of Divisionsion33 of the Busin-ss and Professlo . Code,and T
my license is in full force and effect. /
C" License Cia i - - N•3�je03 • I $
Date kr • • Signator:Ci�/f/. Attee r • PLUMBING FEES
WORKERS'COMPENSATION D ARATION
Bar Sink Showers ELECTRICAL FEES
I hereby affirm that I have a certificate of consent to self-insure or a certificate
` •f Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink -• Automatic Wa e Transformer 0 15-50 KW
800, Lab. C.) a 1
Policy No. neS137826 Company / Backflow Irrigation / Sewer,Cap • -/- Constructi of Sub. •
0 50+KW
Certified copy is hereby furnished.
Certifie gQypBiled with the city Bull ng I op. # ,�/ Bathtubs Sewer Connection Cookin it Meter ❑up to 100 amps
Date �/`0/ Applicant /V Y//
EXEMPTION FROM WORKERS'COMP ION O CL AT ON Clarifiers • Solar Collectors ,•' er Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or l -
less). Dishwasher Solar Piping A Dryers ❑Gas DElectric Sub Panel
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the Drinking Fount- ns Solar Tank !
Workers' Compensation Laws of California- Motors 00-1 HP ❑i%-8
Date Signature - Floor Drains Swimming Po. w/Spa / F.FanA.U. Inc.Solar 09-15 H17,:::116-15+
NOTICE:If,after making this declaration, you should become subject to the ,
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks • Uri al Fixtures - -
comply with such provisions or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Wai-r Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light •
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptor. Warr Heate
Lender's Name p Outlets Range r.
Lender's Address Kitchen Silk k Wa i-r Servi,- Switches •
OWNER BUILDER DECLARATION Sign _•
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Au-.-Wash Garbage Disposal ;Standing Sections •
following reason (Section 7031.5 Business and Professional Code: Any city or •
county which requires a permit to construct,alter,improve,demolish or repair P—Trap • . •- 11 -•
any structure, prior to Its issuance, also requires the applicant for such permit Generator ❑0.5 KW ❑5-15 KW Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - - - ._ —
the ,—
the Contractor's License Law(Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code) or that he/she is exempt
'herefrom and the basis for the alleged exemption. Any violation of Section
931.5 by any applicant for a permit subjects the applicant to a civil - - -
nalty of not more than five hundred dollars($500).
0 I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 't:,
Issue Fee $ 3 "'
compensation, will do the work,and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee--
• .14; $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL • FEES
License Law does not apply to an owner of a property who builds or improves 1y14' DEVELOPMENT SERVICES REQUIREMENTS: r'j
thereon, and who does such work himself herself or through-his or her own Boiler HOOd r Type ❑
employees, provided that such improvements are not Intended or offered foryp • / Zoning Approved By - ` Date
sale. If, however,the building or improvement is sold within one year of com- - Canop Type II ❑ •
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Grounds '
prove for the purpose of sale). Building Approved By ' Date
LJ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By OM = Dat
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 Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con-
tractor(s) license pursuant to the Contractor's License Law). I am aware that BUILDING PERMIT $ 15.00 ''"- SMIP $ •50
ofExhaust System ❑ Multiple ❑ System Repair/Alteration
proof o their Worker's Compensation insurance should be provid • to me. PLAN CHECK $ _ PERMIT
❑'I am exempt u der -c . — Jr B.& P.C.for his reason Firepl/Fact.Blt. ICBG# Fire Dampers
t; LI PLUMBING i $ ISSUANCE $
Date —PEW .O nersem. ' w%- dr
--____' Heating System& Ducting Registers PLAN CHECK 25% $' ENERGY P.C. $
I hereby certify that I have read . is application nd s ate that the above 00-100,000 BTU 0100,000 BTL- - ELECTRICAL $' GRADING $
information-is correct. I ogre- to comply with all/y and county ordinances -
and state laws relati•• • b (ding co• truction` ❑ hereby authorize repre-
sentatives of this ity t• ter u.,. •.v¢-mentioned property for
inspection purpo- s. MECHANICAL 5. TOTAL FEE $
Signature ��1,/ //O.�e Date 17/8/86 •
- 15.31
' Drivers' License • 5 t 2089I Reinspection Fee I 1 $15 Issue Fee • ; $ 3 • PLAN CHECK 25% $ •
CMF 0865-46,rev-10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
-
STRUCTION AND PLANNINGlePOOL 'A
PROVALS Permit# Date Inspector APPROVALS Permit+ Date Inspector •\\\
mporary 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, 0 Undrgrnd., Test • -
_9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. .
•
.10. Structural Floor System . 61. APPROVAL TO DECK
1.1. 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
,.e 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
^F.
+.ry Rough
,
19.- Rougti*\leating & Air Conditioning - FIRE DEPT. REQUIREMENT ,
20.' Rough Factory FireplaceAPPROVALS Permit# -
21. Ducts, in,Strudh re 70. Underground,Hydro -
22. Ducts, Ventilating�'•� 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test72. Underground/
` Flush
_
`24. :Roof Framing 73. Undergrnd;Storage Tank 0 Gas 0 Oil
25. Roof Sheathing " "74:-Overhead..H.ydro._. .. .. - ,
26. T-Bar Ceiling (Structural) & Mono'coat '75. Dry Chemical
'27. Frame and Flashing . • ..;---• •:76.1Dry Standbipe'
28. Lathing & Siding _ 77. FIXED SYSTEM FINAL
t° 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:
r. 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'Pieventer
43. Backflow Ideation •
44. Landscape Irrigation System - 1
45. Sound' Attenuation EXPIRED
"' immolate htspectiona
46. Handicap.Regulations ' - /
47. FINAL STRUCTURE & BUILDING ' ' Date - /O/.. 7 .Sig
48. Special Requirerrjents Completed
•
49. Electric Release to Edison , - ' .. -` 4
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY I
No. - - . - Date ' - - - - '
l
(OWNER ROGERS, NICHOLAS DATE 10-17-68
`JOB ADDRESS 3157 Yukon Avenue BUILDING PERMIT NO. 29269
4GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Slab for Future Patio Cover
"� ',D. 4L8-051-0s LOT 24 TRACT FIRE ZONE VALUE $ 250,00
I ;'.'\<CTIONS Signature Date ,GROUP ._JT TYPE III ZONE R-1
SOIL
SUBCONTRACTOR PERMITS ISSUED
GAS Data Number I
Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. ji _
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND LI POWER I]
ROUGH WIRING Heating and Vent.
TRENCHES FORMS 0 STEEL REINF. fl est re-,8-64'
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE in
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER, BROWN COAT
S' "URAL, FINAL Electric
HL. .4G, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL A'/
BUILDING, FINAL 4 2-V-41
29269
COSTA MESA BUILDING-SAFETY DEPARTMENT OCT 18 68fi OO1001 *****3.DG
P.O. BOX 1200 COSTA MESA, CALIFORNIA 9262E
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING...}
For Office Use Only
ADDRESS LJ A I I RECEIPT NO.
COSTA M -A. CALIFORNIA a DATE -e•'
1!c O� }s �aq E S RED Bi. u(UrErvSD , 1
OWNER /U
MAIL ) BUILDING
ADDRESS 3 1 . • ] ADDRESS
a FIRE
t / • �a; ZONE TYPE
//�/n/ �y GROUP
ARCHITECT TEL APPROVED BY ,J • Dwre/J /12.17:-
/ oIF
OR ENGINEER NO.
ZONING
ADDRESS
M 61 ZON r PS BUNEW A,(,/I
1 I PLANS I BUILDING
CONTRACTOR 1
LEGAL
DESCRIPTION c--"//VVMe- O �i rout-4 YLCY/
AD•RESS
CITY 8 -- O S/-pa
NOTE: NO RAVE OVERHANG SHALL BE LESS THAN
STATE TEL. ' SO"TO SIDE&REAR P.L.
LIC.NO. NO.
EAVES
c; SIZE I NO.OFBLDOB. ALLOWED {U.B.C.REQUIREMENT/_.-
: OF LOT NOW ON LOT
YARDS APPROVED YARDS APPROVED
'- USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
.(FROM C/L STREET)
SETBACK LINE FROM FRONT / r •`/• rr.
CENTER OF STREET REAR YARD
I. SIDE YARD I LEFT I RIGHT R.SIDE S PT. FT.
DESCRIPTION OF WORK L.SID PT. PT.
NEW ALTERATION ADDITI•N
tea_ ^"_.
BET.MA Nf
ACCESS LOGS.
.- REPAIR MOVING QEMOLISH
DATE
BUILDING NO.OF
SIZE ROOMS STORIES APPROVED
' EXTERIOR WALLROOF //��
2' COVERING I COVERING - •1 / •ATE IO-- _IO A
USE OF BUILDING AND WORK TO SE PERFORMED • D'
D]
b1 _ L. l % b X - 1
I HEREBY ACKNO DOOf� ( AT HAVE R THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j
AND STATE THAT TH AIN R IS ORRE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. F11
PLY WITH ALL • TY •RDI i NC ND VALUATION
BUILDING CON• i'U O
[, SIGNATURE O- / 00 PERMIT FEE S 3r0 0 p
[_ PERMITTE- I _ 1 1 A 11' 11 . .J . 01
t- .�
I S Z3O PLAN CHECK S L"
I.
AUTHORIZED AGENT I= �J CO Cr
.. �.:.. a .moi... ;'.5..,.., TOTAL FEE S
OuWNtrc ROGERS, NICK UAIt 7-31-69
J B ADDRESS 3157 yukon Avenue BUILDING PERMIT N0. 30584
GENERAL CONTRACTOR owner DESCRIPTION of WOR-Kt ratio cover
Ay?•4o.418-051-03 LOT TRACT FIRE ZONE VALUE $ 500.00
° _
� -,r CTIONS
SOIL Signature Date GROUP .T TYPE V ZONE RI
' SUBCONTRACTOR
PERMITS,ISSUED
�GAS Date Number I Signature
WATER Plumbing
ROUGH PLUMBING ..
PROP. SWR. LINE Q HOUSE CON. 0
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONOITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND El POWER 0
ROUGH WIRING Heating and Vent.
TRENCHES El FORMS i STEEL REINF. El
FLOOR SYSTEM
BOND BEAM in STEEL REINFORCE n
SHEATHING "In e Y-13 6-9
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER, BROWN COAT
5- TURAL, FINAL _ Electric
HL AG, VENT., REFRIG. ANO A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL
BUILDING, FINAL 1,
k fc 7 Q f
.
• 30584
COSTA MESA BUILDING-SAFETY DEPARTMENT
101. 31-6�SA002661 u*****5.00
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
(/^/ �J RECEII DATA ECC IVSD' DATE ISSUED
ADIDRESS�� 1 ] / UU((r��� GUp`/C/ K�—)) �jr/T ) J-(} ! )/Q—��/
OWNER 1 L < ,,-�/1t. 7 4 / s A.P.NO.9/ 6 — 6167— D3 PE 11.5**
^ S� BUILDING ��
Cr?r?
MAIL /�,a(�, ADDRESS J / ALL'-dN
ZLu ui
ADDRESS y� M
aO CITY \ 2) � Inc yip, N �O�p3j TRACT 01767 LOTJ9 BLOCK
Z < CONSTRUCTION �{,6 j/ ` NEW AOD ALTER REPAIR MOVING DFMOILSH
O N LENDER ,V rVl
G-m
J D BRANCH ----
_I Cl, �. OWNER,. /�1�,/,n.( /
m J ADDRESS �/J/,LA/ VALUEGzei
-CO ARCHITECT 4 A ]/ (7 TEL. USE ff $ �OO
J y OR ENGINEER (J /{� - NO. ---
5
�
ZQ -- FIRE J
IL w ADDRESS '/ GROUP -
Ct. �1 , - ZONE TVP
J Z CONTRACTOR 1 1 ! Ai j APPROVED DATE /��
m cc ADDRESS LU
l^
W WZTErrs(r� NO.OF USE OF NEW '` Lt./'
Zm CITY •*---. NOL �� !/l // (PLANS BUILDING rw fb1(.l'✓�
W O STATE CITY YARDS APPROVED YARDS APPROVED
j O LIC. NO. l / LIC.NO. MAIN BUILDING ACCESSORY BUILDING)
SIZE /O / y ) �I NO.OF BLOCS. I (FROM C/L STREET/
OF LOT /V•-s n / O� NOW ON LOT / FRONT �F .¢." 0 i FT.
USE OFJ 6 -
EXISTING BLDG. S s R.SIDE FT, FT.
I— SIZE OF n yi • f, NO.OF / / •f'
2 NEW BL (�/N at,
ROOMS STORIES L.SIDE 2 4T. FT,
EXTERIOR WALL ROOF •
V COVERINGVCOVERING REAR f 7 FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
CL
/(L 1�/ �1/)) MAIN BLOCS. ACCESS BLDGS.
a iXtii1 Ll,,��// �l 7 ch OF ? VACUR. s APPROVEDDATE
^ I/`
C/) 1�) " y / �/� 1 ROVED DATE //3/! C/ -
O I J �� /
U I hereby acknowledge that I have read this application and state
D that the above information Is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
I— any person In violation of the workman's compensation laws of
fA the State of California. m9
— I hereby carts y that I am properly licensed as a contractor under SO. FT. 0
the State of C Iifornp Bus ass and Profe Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, an that ch li��nses are in ull fo ca end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exemp fro the �rovi •ns of the tate of alifornia Business ALUATION O?f
and Profes one ode DI Is •n 3,Chap m
PERMIT FEE $ C1
rill �-1 co
D
Signature I ` PLAN CHECK $ E
Permittee y1 ssoo
/ r �) o
Authorhed Agent u.
` TOTAL FEE $1/43---
,
.. 2e, 66 FB 17 67�H;F00 692* ****9Q50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92620
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
. For Office Use Only
Ii. BUILD
ADDRESSING
3157 Yukon Avenue
RECEIPT NO. PERMIT NO.
COSTA MESA. CALIFORNIA _ D/,�/].[ V/� 9`7' AS I ^/
re
R[C{IV[D\Y ` ! / 1 7 T� -TE b
'. OWNER U. S. FinancialErr(
EIVED j`�'
MAIL BUILDING �/ .
ADDRESS 1355 Front St., San Diego, AOORESH Jk "9/1
TEL ZONE L,J TYPE GROUP Z�� - .
ern, Calif. NO. 234-791.., J
. ARCHITECT Voir
HL - BYPROV[D DATE
OR ENGINEER
A•S• HenT'yck „o. 546-561•
ZONING
ADDRESS 901 Liard Place Costa Mesa „ no.or [OF N[w tet)✓ ,•
,'c BUILDING S- I PUNS I VIM
//' , -
,4 CONTRACTOR Lewis R. Schmid
/U• 'YID* �• 41.
ADORES* 29HO-A Randolph_Avenue
a ii
-.,,..---..--
CITY Costa Mesa, California A.P.NO.
NOTE: NO[AVE OVERHANG SHALL BE LESS THAN
,: 15270. 2 34 39 9 NO. 54x'0960 SO'TO SIDES REAR P.L
EAVES
' SIZE F OCTL601 X 1001 NOW ON yDT[ O ALLOWED (U.B.C.REQUIREMENT)
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
.{ EXISTING BLDG.
'} (FROM C STREET)
• SETBACK LIN[FROM
'( CENTER OF STREET 01 REAR YA-D 2[. FRONT PT. PT.
SIDE YARD I LEFT 6.841 I RIGHT 5.51 r FT.
A%i DESCRIPTION OF WORK • Fr.
- REARTERATI•N Mt.
I PT.
DISTANCE BIT. BET.MAIN Q
!: MO MG ■ ACCESS.BLOCS:
e VAR.# DATE
'. BUILDING -1 NO.OF
SIZE ]1118 s.ft•ROOMS 6 STORIES 1 C.U.P.# APPROVED
EXTERIOR WALLWOOd ROOF Shakes, : APPROVED `` / '7
G' COVERING _piaster COVERING PhinPles ' BY \ /L1.11C/ DATE 07-/V-Gly /
II USE OF BUILDING AND WORK TO BE PERFORMED P.
t• Single Family Dwelling with attached 9
!, Garage g B
�� e i. Nil/
HG.FT. /7 X
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j
- AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. 215
PLY WITH ALL CITY ORDINANCES AND ETATS LAWS REGULATING VALUATION
BUILDING CONSTRUCTION.
PERMIT FEE
SIGNATURE OF l -Fr ✓� . r /PERMITTHF 02,3 5/--
-
r / 4Ws
AUTHORIZED AGENT
/(J �d
iw•"::[+sa o-. - I .p.-3:.. .. r. , TOTAL FEE 7