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HomeMy WebLinkAbout827 VICTORIA ST - Building PermitsAVP��cant to fill in all CITY�F COSTA MESA PERN GONSZRUCTION PERMIT /� Address �(�SL� ���j'fjSC6 ��• Sf Arch/Eng. � License No. Address - - ' witnin heavy GorCer lines ana sign all aoo�opriata Oeetaratian TRACT NO. LOT NO. BLDG. NO. LICENSEO CONTRACTOR DECLARATION I here�y affirm that I am IicenseU untler provlsloni o( Charler 9(com- mencing wltM1 -se<tlon ]000)� o� Dlvision 3 of the Business entl Professions Cotle, antl my Iicense is in full torce antl effect. License Class License No. Date Signature WORKERS' COMPENSATION DECLARATION I hereby aftirm that I have a tertificate of consen[ to selt-insure or a certHicate of Workers' Compensatlon Insurance, or a certitietl topy th¢r¢Of (Section 3800, I�b. C.). " �",;y No. � Company �1';.�-ertitietl coOY is hereby (urNshetl. � �."�ertltietl cOpy IS filetl wRh Ihe dty Builtling DlviSiOn. E%EMPTION FROM WORKERS' COMPENSATION DECLARATION (This sectian neetl not be completetl if tne permit Is for one.huntlretl ($100) or less). I certify that in Ihe performance ot the work tor which this permit Is Iisuetl. I shall not emDloY anY Oelson In anY manne! sp�dat0'be6ome Date/�-/-1^�� Si9natn� � -� NOTICE: If after making thiS�deCla tlon, you shoultl beGom¢ subjCGt to the Workers' ComOensation provlsions of tne Labor Cotle, you must to�thwith comply with suCh provislons or this perrtlit Shall b¢ tl¢¢metl revoketl. . , ... . CONSTRUCTION LENDING AGENCV I hereby atflrm that there I5 a conitruCtion lentling a9CnCy for th¢ per- formance of [he work for which this permit is issuetl (Sectlon 3097 Civ. CJ. L.enO¢r's Name t � _ Lentler•5 Atltlress or counry wn¢n reqwres a ts Iicensea pUrsuant'to ine provislons of tne Contractor's -License Law (Gnap[er 9(commencing with Sectlon ]000) of Dlvision 3 of the BuSiness antl PrW¢ssiOns Cotle) Or thdt h¢ iz ¢x¢mpt therel�om antl tha hasis tor the allegetl exemption. Any v101a[ion o( SeCtiOn ]031.5 by ' appliWnt (or a permit zub�¢Ct5 ihe applican[ to a clvil penalty io[ more than five hundretl tlollars (y500). ._ 1, as owne� ot the �property, or my ¢mploy¢¢S wilh�wage5 a5 their 501¢ Compen5ation, will tlo the wo�k, antl [he st�uc[urC Is no[ Intended or otferetl for sale. (SeGtion ]044, Buslne55 antl Profe55lon5 Cotle: The Contracior4.License Law tloes nat apply to an owner ot a.property who builds o� imp�oves tne�eon, antl who tloes suGh wo�k nimsel( or througn his.own employees, p�ovltletl tnal such Imp�Ovemenl5 a�e not intentletl or offeretl for sale. If, howeveq Ihe builtling or improvement is sOltl within onf year Of. Compl¢liOn, lhe own¢r will hdv¢ Ihe burtlen ot provin9 he tlitl not builtl o� imprOve for Ibe put0ose of sale). ❑'1, as owner of lhe proper[y, �am ¢xclu5ivety Conl�acting with licensetl contractors to construc[ [Ite projec[ (Sectlon ]044, Business antl Professions Cotle: The Contractor's Llcense Law tloes not apply [o an owner of property who builtli or Improve5 th¢reon, dntl wno con- tracts fram such projec[5 with a COn[rattor(s) Iicesn¢tl Dursuant to the Conirattor'S License Lawj. ❑ I am exempt untler Section B. 8 P. C. for this reason — Date- Owner . 1 h¢reby certify that I have �eatl this appliGation antl StatG that the above information is correcL I aqree to comply with all <i[y antl-county ordinances antl statC laws relatinq to conStwQion. antl herebv authoriie TYPE OF CONSTRUCTION ❑ NEW ❑ ADD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMI �OTHER ��'��� S�ZE QF DESCRIPTION OF WORK �N57�L /n /1-nn /]//7/_�- � /���n TVPE OF PERMIT � ❑ GRADING ❑ FOVNDATION ❑ STRVCTURAL ❑ TENANT � ELECTRICAL ❑PIUMHING ❑MECFiAI O OTHER PROJECT DESCRIPTION SQ. FT. OCCVPANCY_CONSTRUCTION TVPE VALUATION ZONE GRADINGCV.VDS. ACRES PLUMBING TOILETS LAVATOftIES KIT. SINKS - " SERVICE SINKS FLOOR SINK$ � _ � DRINKING FOVNTAINS INTERCEPTORS a PLAN CHECK SHOWERS URINALS DOUBLE LAVS DISHWASHERS' SUMPS FLOOR DRAINS CLARIFIERS � WATER SERVICE ALTERATION " - GASSERVICE OUTLETS % -- WATER HEATERS "BTU OUTPUT " ' SEWER CONNECTIONS ' ' "- ' - � SOLAR TANK COLLECTORS SOLAR PIPING SVS. ' � � ISSUE FEE . ' MECHANICAL PLAN cHECK HEATING SVSTEM 0-100,000 BTU AND OUCTING 300,000 + BTU REFRIGERATION 0-300,000 BTU SVSTEM ' � 100,000 t BTV 801LER5 BTV SVSTEM REPAIR,ALTERATION EXHAUSTSYSTEM MULTIPLE Drivers' License or 55 �� � � ' ISSUE FEE CMF 0865-46 White�Builtlin9: ��ary-Applicant; Pink-Accounting; Goltlenrotl-Assessor I �ll I�'/I:I/�;'' q�P. i ZONE REAR VARD (TO P/l) PKG. SPACE REQ. STREET WIDTH 20N I NG APPRO V ED B V SPECIAL CONDITIONS: ELECTRICAL PLNTGp. RUEFL. $�N PROPE�RTDV tGINE PROVIDE� PARK FEE $ DATE PLAN CHECK � - GENERATOR Q-1 KW=1-30-KW TRANSFORMER APPI_IANCE '30-SOKW_SO+KW MOTORS 0-1 HP_1-30 HP , (INC. SOLAR) �0-50 HP 50 i HP , FIXTURES OUTLETS' SWITCHF GAS TUBE SIGNS POLE IIGHTS' " - ' PANELS " MAIN ' �' - ��' SERVICE' ' ' ' ISSUE FEE ' - APPLICAT�ON APPROV ED BV • • Q AMP �',�� T�_ I +. DATE SUMMARV OF FEES BVILDING � - - PERMIT E . SMIP� . , 5 PLAN CHECK S 7ERM1T � ��- -ISSUANCE f PIUMBING b . GRADING E PLAN CHECK E � E�ECTRICAL b �D� - ' .•S . PLANCHECK E - MICROFILM E�' MECHANICAL E'' TOTAL FEE E . -P�AN CHECK E ' �-E55 AD- • " � � - VANCEPC E" FINAL FEE S -�O CONSTRUCTION AND PLANNING POOL & SPA . ' � - - ' � ~ , APPROVALS Permit # �'�J %� � Date Inspector AppROVALS Permit #� Date -- h�ector � 1. Temporary Electrical Service or Pole . 43. Pool & Equipment-Location - - -� - .2. So�l ipe-Undrgm � 44. Steel Reinforcement � - - 3. Electrical Conduit Utility-Undrgrn ' ._ 45. Forms - 4. Electrical Conduit-Undrgm. 46. . Electrical Bonding, - - - tee ein orce 47. Rough Plumbin & Pressure Test 6. Electrical UFER Grn LI 48. APP.ROVAL TO COVER-GUNITE -�� � 7. Footings _ - ' 49. Electrical Conduit-Undr m- - � 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test � ' � - 9. . Water Pipe-Undrgrn 51. Backwash Lines P-Tra � Undr rn � 10. Structural Floor System 52. APPROVAL TO DECK - - 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-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 --� � � -� � encing & Access Approval 17. Ducts, in Structure ' APPROVED FOR PLASTERING, . 16. -Ducfs, Ventilating- . .- - -. . . - - _. . 19. Gas Pipe-Rough &Test . . 60. POOL/SPA SYSTEMS FINAL . � 20.-- R4of Framing - - � ' 21. Roof Sheathin � - � - � ' ' - 22. Frame and� Flashin � � NOTES: ' ' . . ' , . ' 23. Insulation - - - � � ' ' - ..0 � 24. Lathing &-Siding - � � � - 25. Drywall Nailing - ' ' � � � � - 26: Plaster Brown Coai � - � � � "27.-n Electrical Power Meter-Final ' ' � � � � � ' � ' ' ' 2 . -' Final Electric- - - ' ' ' " � ' � � 29. �Final Heating & Air Conditioning - - � �- - � � 30. Final Gas Pipe-Test � - � � 31_ Final Plumbing � ' ' � � 32. Water Service-Final �-- - ' � ' � ' ` � � � � - 33. Gas Service,Pinal � � - � ' ' � 34. Solar pomestidFinal - � � � � � � 35. Landsca e S rinklin S stem � 36. Sound Attenuation � - 37. Handicap Regulations � � 38. FINALSTRUCTURE&BUILDING � � � 39. Special Requiremenu Completed � - ' 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY � -No� Date � ., Applieant to flll In all spaca* except thow within heavy GorCer Iines antl sign all a�orooriata Eeelantlons. CITY OF COSTA MESA CONSTRUCTION PERMIT ApplicnnYs Mailing A drea �� � ���� ��'���' ^�f� Project Address D � Owner'a Nama � �� honeL�7 Address � /� Arch/Eng. Licenm No. Address Contrector's Nam hone Addreu (meilingl License No. � IICENSED CONTR R DECLARATION 1 here�y al/irm t�al I am Iicensetl unGer provislons oi Charter 9(<ommencing wllh section 7000) of Divislon 3� ot the Business antl Proiessions Cotle, antl my,license Is in lull fOrca antlieHect. . ' Litense CIasS � Licanse No. Dale ' Si9natur8 ' "�ORKERS'COMPENSATION DECLARATION ' ' +raGy at/irm.lhat 1 have a cerU/lwte ot consent to selHnsure or a cartlficate .� Workers' Com08nsallOn Iniuranta, or a CertiTletl,copY thereof (Sectlan ' atl00. Lnb. C.) ' . . PoII<y No. Company �� 8 Certlfletl copy I5 �ereby furnishetl. � , i ' u��iriaa �oor is maa wim ma acy a�uai�e oia:ioo. Date ADO���ant � ' EXEMPTION FROM WORKERS' COMPENSATION DECLARATION � (This sectlon rieetl not be completeG if the parmlt is for, one hunEretl (E300) or ' IB55).. . ' . ' � I cartify.that In tne perfOrmance o! the work for�which t�is permit IS issuetl I . shall not employ any person In any manner so ai to become subjact. to the ' Workers•�Compenutlon�Lawsof Cali/ornia. . �ate � SIB�ature � � NOTICE: It, after making this tleclaratlon, you sfioultl become subject to [he �� Workers' Compensatlon provisioni.of the Labor Cotle, you.must lort�wltn � comply with; such'provisions',or'tnis permit shall' be tleemetl revoketl. � .CONSTRUCTION LENDING AGENCV '� -' I heraby afflrm t�at there Is a constructlon.lentling agency for the pertormanca Ot th0 'w0/k for, whith thli_ plrmi[ -is � iSSu¢tl (SeCUon 3087 Civ. G:) , Lentlar's Name , Lantler'S Atltl�ess ' ' � ' OWNER BUIL�ER DECLARATION - ' ' I M1ereEy afiirm that I am exemot from the:Contractor's Licenze Law Tor the e a vgnev stacamen[ mai na/sne is ncensea pursuan[ io me provisions oi � ontractor'S�License Law (Chapter 9(commencin9 with Se<tlon 7000) o( 'ion 3 of tha Business antl Professlons Coae) or. [hat he/she' ii axempt trom an0 the'basls for tha allegetl exemption. Any violatlon of'Sectlon 5 by any aOP����t tor' a' permit sub7ects Ihe applicant to a tivll ' ty of not more than tive huntlretl Collars (E500). � , `as owner of the Oroperty or my employees with wages�as t�eli sola � �en5ation wlll'Oo t�e work, anqt�e itructure' is not intantletl or ot(eretl ' ale'(Secfion 7044, Business, anE � Protesslonal Cotle:. The Contractor•s �, se Law tloes nat aoolv to an owner of a orooertv�wlio builtls or Imorovez empl0yee5, provitlea [hdt SUth im0�ov<m¢nts are nOt intentletl or of the oraoertv. am exclusivelv contractina with Ll I am � Date .e Drlvers' License or 55 � CMF 0865-46 rev. 12/B2 or TVPE OFCONSTRUCTION LJ NEW LJ ADD L1 ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � DESCRIPTION OF WORK � TVPEOFPERMI� GRADING FOUNDATION STRUCTURAL ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PRQIECT DESCRIPTION Sq. FT. oCCUaANCv C O N STRUGTION TV VE V ALUATI ON $ ZON� GRADINGCU.VOS. ACRES Ramarks: � ' Bar Sink Backflow Preven[er Backflow Irrigation Clarifiers Dishwasher Floor Drains Floar Sinks � Gas Service' In(erceptors Kitchen Sink L8V8tofie5 Roof Diains Showers Service Sink Solar Collectors � Solar Piping _ � ' Sotar Tank � ' Swimming Pool wlSpa � UflOd� : Water�qoset � � - Water Heater ' � Outlets � Water Service . ' i � . - . Reinsoeaion Fee i � �_. , �scue Pee Under,Ground � . Structural . . Venrilating � ' Hho contracts for such pro�ects with a con- • Exhaust Sy5t2m U Multipl :ontractor's Licanie Law). f B. & P C tor�tnis reason ' Firepl/Fact, Blt. ICBO � /' � / � �/ �� � � ' _ Heeting System & Ducting ; .�s appiicatlon antl state that tha above - ❑6100,000 BTU 0700,001 comply with all <Ity antl county ortlinances . � yconstruction; antl �ereby authorize repre- ' HUOd O� T a I ❑ P fa pbo - antionetl property,Jor �P G Date 0 UJ � �no T e I I ❑ . Regirters • i Builtling; Gnary -ApPlicant; Pink -Accounting; Goltlenrotl -Assessor ❑P100p006TU ❑100,000 System Fepair/Alteration i � � Reinspection Fee Issue Fee A. P. gy+ PLNG. REF. �M LEFT SIDE YARD PKG.SPACE REQ. STflEET WIDTH � SPECIAL CONDITIONS: Auromatic Washer Construction Pole Cooking Unit , . Dishwa5her Dryers ❑Gaz �E Fan F.A.U. Fixtures . Device Boxes OUtlets Switches 2J11 //I ;/ . REAR VARD (TO P/U . RIGHTSIDE VAFD PROVIDED PARK FEE $ ' Meter LJover 10U amps � Sub Panel ' � � � �Sub Poie ' , ' � � Motors ❑0-1 HP O1X-8 � . ��� Inc.Solar �9-15HP �16-15+ Generator L10-5KW LIS-15KW Transformer ��5-SOKW ❑5U + KW' $15 Meter ❑uptot00amp� $ 3 2oning APProved BY ApPliotion APProved By � : APVlintion Imued BY � $75 $ 3 I�oc. �Pole Light ' Range ' � Y ' ' � Sign StandingSections � ' �pZ � Trash Compector . � RainspeMion Fea ' , $75�� Issue Fae � ' ' $ 3 Date Date � �Dats 7'"/d�-[�`3 , ' , � SUMMARY OF FEES ' . � BUILDING PERMIT $ , SMIP � $ � - PLAN CHECK � $- PERMIT � � � PLUMBING � $ � ISSUANCE f $ � ' ,PLANCHECK. $ •G� GRADING � $ 1 f ELECTRICAL . $ �If % . � � . $ PLAN CHECK. � $ MICROFILM $' MECHANICAL $ ' �. TOTAL�FEE ; $ ; PLAN CHECK � $- LESS . . ADVANCED PC � $ � . • � FINAL FEE1 • $ / , 80 C� ;,�CONSTRUCTION.ANp"PL'A'NNII�J,G_ _� ' � ° - � .. - - - --�, � - � _ � , � • POOL 'A � - � ' � � •. �- jj(X!2' ?.Date � ' ,Inspector � � � p�ppROVALS_ Peimit;# � Date Inspector � ':APP,ROVALS " Permit#� � ,- . • ,- i� � u 5 - � • ' '` '1: Temporary,Electrical SerJice or�Poie ��= ;. : _ � ' � . � 52. Pool & Equipment Lowtion � � �. . .� . . _ - . ��„2! �Soil Pipe-Undrgrnd_. - _ � c ' � - ' ° r. - . �53. Steel Reinforcement , . _ . - �_�_ �,; 9. Electrical Cp'nduit Utilitv-Uridrgrnd, : - ,� - � 54. �forms � . � . - � � � � f' 4. Electrical Conduij-Untlrgmd� L i_ = � °' ` � i � _ � 55. Electrical Bonding � . - � 5: Steel �Reinforcement ! � ,� � � z i u - ,' � � � 56.� �Rough �Plumbing & Pressure Test � � . � • ' '8: 'Electrical UFER Grnd.' � " ' ° � � � `� ` � a �. ' <': ' 57. APPROVAL TO'CONER-GUNITE � � 7. Fooiing3 . . � � � " " . ' 4 . : . 58: 'EleCtrical CprjduibUndrarr+d. � . 1 . l J 8. Foundation _ � , � _.- _ � � � " - _ ;59. Gas Pipe, O�Undrgrnd., Test' • - 9. Watei Pipe �Undrgmd. � � � �, _ "60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor System �'t.� ;� � 61. APPROVALTO DECK .. , - � - � 17. Property Sewe,r Line &'�House Connection - ' - 62. Backwash & Receptor-Final �_ - • . � 12. Sewer Cap , � ' ^ � � �- � 63. Heater &-VenbFinal " ^n 13. Roof!Drains �; � ' ' � `' � ; ' . � 64. Plumbing SYstein - Final�� � . � - � Q 14. Rough Plumbi�ng I , , ' � � � ' � - � 65. Electrical-Final - •� � � '15r.Rough-Electrical-Conquit' �-��;"' -.--� � � -,"-� ' -: -� "-" �.66. Solar'Sy`stem-Final � �` � ` � . -�- - - -' ��'76.'�tough:EtecCricWir,ing _� i � � ' �-.-� �; _'i -,- - � '67., Fencing&�AccessApproval - _ - . �� �'17. Rough Wiring'Sign,? " ; � � , •I !i^� � � � '� � , � I � , B8. APPROVED FOR PLASTERING � . ' _�� 16. �jiough Electrical-T'Bar �eiling � � : j- i '� 69.: POOVSPA SYSTEMS FINAL �' � 19. •Rough Heating & Air Conditioning � � ! � = � ' ' FIRE DEPT. REQUIREMENT- . � , � 20� Rough Facto'ry Fireplace � �' � � � ' �, APPROVALS Permit# � , �, � . � 2L ,D"ucts,�in 54ructure• � � !�1 ,� � 70., Underground Hydro � � � ,422. �Ducts, Ventilating , ( �� � _ � , ; 71, Product Piping O Gas ❑ Oil ' . � r� 23. ;Gas Pipe-Rough & Test G! ;. ��?' I� ; j i � � 72.� Underground Flush �� � ' � ' � `,�'�24.'Ftoof Framing� � � ��N `,,, � � I , ' � � �� ; 73. Undergrnd.StorageTank �Gas {]Oil , �'+, 25. Roof Sheathing � � � " . i ',�n' � � � � . ' ' � 74.. Overhead HYdro ' ', ;� � � 6 ._ - . '. , � .., � - � . . , . , 26. ,T-Bar Ceiling {Structural) & Monocoat' � , �_' I � �75. Dry Chemical - ' � ' � -27. �Frame and �Flashing ' , ' � � ; i � � � 76. Dry Standpipe . . � ' 28. ,;L.eth�ing & Siding � . � ; � � � � ' � 77.� F!IXED SYSTEM,FINAL � . � c � 29. �'Insulation ` � � ;� ,' � ' ;t '� � ' . I '78: FIRE PREV. FINAL * ' ; '�30. Dryovall Nailing � : . ; �� ;� i � ' ' � Notes:� . ' , . . � � � n -- -�� - -- - - - � -- � � - � - �;�31. �Plaster Browo Coat � �� � i . � � � � � !! 32. `Electrical�Power Meter-Final � �� � _ i � ' . . 33. �Pinal Electric - � 1 � - ,� � ��� � 34. Final Heating & Air Conditioning � i � � , . 35. Final Gas Pipe-Test ` ' � Cj ' � � _ , � , � � - ir � 36. Hoodor�Gnopy � "''' � ', ;: ��. :. . . - . . •. _ . � . • . 37. Final Factory Fireplace' � _ �; ' ` � - , � � " � � 38. Final Blu�mbing � � I � i � :_ �• 1 � � � ' - . . i ci � i 39. Water Service-Final, ; ' � � � ; . � � , � - � , I �. 40. Gas Service-Final � , ' � .� � � � , , � , �. � 41. Solar pomestic-Final � � � i , : �. � _ _. . _..�. - . � 42. Backflow P.revented � '. � � - � � ' ' ,' � . . ,�' . _' .. i `, 'r,;, - . . . 43. Backflow Irrigatioh � • . , _ . 44. Landscape Iriiga[ion�$ystem' � � � ' ' � � 45. Sound Attenuation � � � , � � - � • � ' � � � � - . _ � r, ira� '.�:' �.'' � � i I' 46. Handicap Regulationa � i m � � = I �i � J i r ' � � � ' .o 47. FINAL STRUCTURE & BUILDING � ' � � � �� . , �� � � � , � � � . , � • , I 48. Special Fi�quirerrients Completed ;; i � � " � ' � � � - � � � � 49. Electric Release'to Edison� � � � � � � � ' I � � _ _ _' : � � %` � � - - 50. Gas Release to Southern California Gas Co l � � �' ' � � i i • 51. CERTIFICATEiOF�OCCUPANCV ' � ._�� ._ � _ . __ � No Date r ' ' - ' 1._ 1 ' ADD��U�t t0 iill In all TDaees axeept t�OsO within heav !� Ilnlf anE slg� all approDrlata Eaela�atiohs. CITY OF COSTA MESA� � � , • ' , pER IT O. TFACT NO. , LOT NO. � . BL . . , ' ' ' ' ' ' � � , � , ' � CON3TRUCTION PERMIT • - ' . �a,�p.""� .. l' ' , ` . , � AppliCBnYs Mailing df@55 � . ' NPE OF CONSTRUCTION - ; ' NEW ADD ALTERATION ' REPAI R _ . �� : " �„ i ' �, • ' AojectAddrezs- ' � - ' � �, � � ❑CONVERSION ❑DEMO H OT�ER I - . . • • . � --+�.i � - �� � � , . :,_-9 'J/;" / ; _ - .i> T� Owner s Name ' � E�� h e � S D CRIVTIO F WORK �_ � '� _ [ / -� I G GUL TIO S Addfess '� '�r�b'LI'nh • • '1/�T `��0� �TypEOFPERMIT GRAOING FOUNDATION STRUCTURAL � � A.P.9W � .�ZONE -- ' ' ArCh/Eng. _ _ . LiC2nSeNOI � ❑ TENAN'�ECTRICAL 'PLUMBING ❑.MECHANICAL . � � � ' . _ BUILDING , . - �� PLNG.REF.� � ' Addfeu� � ' ' �,�OTHER . • � . � - TO BUILOING' COnMBCtOfSNem -' ' hOnei PRQIECTDESCRIPTION' Sq.F7.•� - OCWPANCv� ' E TV IN , REARVARD�(TOP/U � � � � p _ t � CONSTRUCTIONTVPF ' ' ' " VALUATIONS ' LEFTSIDE VARD ' � � RIGHTSIDE VARD ' � ' Addrett (mailin9l �� , . • . ' , . . . � ' ' . , ' ' j - ZON� ' GRADING CU.VDS. ACRES PKG.SPACE REQ. � PROVIDED ' . , . ' ' ' ' License No. • ' .. . � . . '_ : • � � LICENSED CONTRACTOR DECLARATION • - ' , Remarks: �E _ � STREET WIDTH � ' ' �PARK FEE S � ' - � � � I�hereby altirm tndt 1 am IlcenseG untler provisions of Charter 9(commancing . , . . , . . wit� zectlon 7000) 01 Divislon 3, of the Bus�nadi antl Profesflons CoOe, an0 ' � , '" SPECIA� CONOITIONS: � ' my Iicenu Is in hll torca anC'eifect. ' � . . . . Licenfe Gass License No.� ' - � � PLUMBING � � • . � - � , ' ' ` � . Date Signa[ure ' . - . ,.`+'_�21RKER5'COMPENSATIONDECLARATION .� ' , ' BatSi�k ; . � SewerCap � ' ' , � ELECTRICAL � , ' � � � .reCy afflrm l�atJ 4ave a certNicate of consent to selMnsure or a certHiwte Automaiic Wazher �Meter over 10D amps '�'��orkers• Compe�satlon Insurance, or�a cerUtletl�copy tnereot (Sectlon ' � BeCkflow�Preventer�- - - SBwerConnection� � � - � - 00, Lao. C.) . � , gackflow Irrigation Solar Collectors , � � Construttion Pole - Sub Panel aolicy No. Company ' , , , , - � � -� �- i � Cooking Unit , � Sub Pole � • � i ' eCertHletl-coOY Is hareby furnls�etl. � , � i ' Bathtub5 Solar Piping � . . . . . CertHIBC CopY is f��etl wIM tlte tity BUIICin9 Dlvislon. . - � Dishwasher � �Mo[ors �0.7 HP � 1 h-8 , Data � AOPlicant � ' � � � � ' Clarifiers , � ' SolarTank � ; • - . _ . .EXEMPTION�FROMM�ORKERS',COMPENSATIONDECLARATION � � Di5hN25hEf � � ' SWimmin Poolw/Spa' ' -' Dryers-OGas-�-OElecvic "' - Inc:SolaV��9-15HP"016=15+ (Thissection uaetl not Ce com0�ele0 If tha parmit is for ona hunCreC (5300) or , . ' _. 9 . , ' ' • ' � less). � r , o . : � � - ` . Fan : , � ' ' -Microwave � . • • � 1 certly:that In t�e Partormance ot the work tor which thli permk is issunq 1 � Drinking Foun2airis . , Urinal � � , • � . 1 � 5ha11' nat employ aPY Person In eny manner 50 •as to betomB Sub7eCt. to t�e I , , � _ ' � , � � • . ' ' { � • � ' � ' Workers', Comoensatlon Laws of Callfornla. I � � F.A.U. � j ,Pple,Light , . ; � ' � , � � Floor Diains� ' � j � Water poset, � � � � ' Date • � °lynature • � � � , ' . ' � � • � �. : _NOTICE: If�.aftar maklnq.thls tleUaratlon,.yousl9oultl bacome suDjeCt t0 tha. �...: . FIOOCSinkS �. _ _ .�. _ � .... ' ..Water Heater . _;._ _1. �r__ _.... +... _ Pixtures � � � � ,Renge � � � Workers' ComOensatlon prodslons oi the Labor CoAe, you must fortnwlth� � . '., ` ' -, � .': � Device Boies � L.—.� ' � � como�v !witn� sucn orovisions-or this �oermk:shall De tCeemetl' ravdkeC., Gei$erviCe, � ;OutlBis' " - �.� �:'�atefServiCC'} ' ! � � � �Sig�l � . CON5T0.UCTION.LENDING �AGENCV' ' ' ' ' ' - � ' ' ' � Outlets ' � I �eretiy affirm that there Is a constructlon lending agen<y.�or the�p arformanca, ��� Interceptors '� :-� - f- - � � ,Stending Sectians � ' � � of tha work tor' wb�ch'tMs. parmit.is'isiuetl"(Se<tion^309T qv. C.) - - � � � . LnnEer's Name - � !f . ' , 1 � , Switches � ' Trash Com actor ` • ' - ' ' . , , Kitchen Sink� . . . P '. Lentler's AAAress 1 '- ' . � ' . r• ' � ' " ' ' - - , . — � , • � , OWNER BUILOER DECLARATION � � Lavatories � , � ; . , - � Garbege Dispo581 . . � I hareby,affirm t0at I am exempt lrom the Contractor•s LJcense Law for the , p_Tra , � � Generetor �0-5 KW �5-15 KW � � , following reason (50ctlom7031:5 Businass anG Profeislonal Cotle: Any city or ' P; • � '- ' � � • .county whith reqWfes a Derml6to construtt, alter ImOrove; tlemolish or rapalr ' -. �� , T�ansfOrriie� �15-50 KW ' � � any structure; Orlor �a ��s issuanta, also reQWres tl�e applicantfor such parmit ROOf�DrainS . � ''' + . .' i ' ' : �' to file a signetl ztat6mant that he/i�e Ii IlcenuG pursuant to the�D�ovisions oY �� - ' � - ❑5U+ KW � the Contractor's.License Law;(Chapter 9(<ommencing with'-Section 7000) of ��� � � = � ' i Reinspec[ion Fea $15' -galsion 3'of Ihe 6usine55 antl Protesslons Cotle) or that� he/s�e Is exempt - Showe�s , � '- Reinspaction Fae $15 � i'�efrom.antl Ihe� basls for t�e allegetl exemD��o�.�A�Y'��olation'ot, Saction ' , "" ` �Metet ❑up to 100amps 'Issue Fee ' 'S 3 5 Cy„any apP��cant for'-a'permit subjects!the'applicant to a clvil '^ ' = i �� a 3 ... Ity of not more than tiva huntlretl Gollars (5500). '.^ �' Seivice Sink , � ' "� Issue Fee -• '� Zoning Approved By � � � Date I,'"as owner oT� Me,pro0erty �or my nmployeas wlth wagas.as their sole ' - • o pensation wtll Oo tha work�, antl,tha struchre is nol intentletl or ofteretl : '�, ; MECHANICAL' : � ! qppliption Approved By � ' DatB � r sale (Secflon 7044', Business antl:Protesslonal Cotle:�Tha`Contractor'S - . : �icense Law tloas not aOPiY �otan bwner 6f a property who bulltls or Improvas : Boiler. - i � ' RefrigeretiOn $ystem � ��� ' ' th0reon, antl who d08ziSuch wO�k him5elf/ha�selt O/ through hls o� her own ' � � � � � . 1 ' � APplitltiOn ISSUBd By � � �D8t0 ' employees, provltled that such Improvements are�not intentletl or ottereC for ❑4100,OOOBTU ❑100,OOOBTU � � � T � -�C���t'--b�-`--~ 1 ' sale. If, nowever, the Guiltling or Improvement Is soltl within one.year of com- Duct - Under Grbund ' '� � ' � � , , SUMMARY pF FEES ' �� pletl n, the owner W�II hava the burtlen of proving tie/she tlitl not bulltl o� Im- � � � � � , : . ' ` � . (or the vurpose oi sale). � r • , . � ' Duct -Structural • ' System Repair)Alteration ' BUIIDING PERMIT $� ', SMIP � as ownei of fBe properry, am excluiivery contratting with�llcenzetl con- , � � . , ' � � I � $ � � � c{orsto construct tne Orojact (Sectlon 7044, Business antl Protessions Gotla: ; � Duct- Ventilating j � � ;PLAN CHECK, � $ � i pERM1T � � ' � � . � � Tha Contractor•s Cicenu Law does not'apply to an' owuer of"property who - - " ' - - ' - '" "- " " "` -'"' " ' - " ' "' � ' ' builtls or im roves tnereon, antl who contracts for sucn J � Exhaust System ❑ MWtiple ❑ � � $�� ISSUANCE �$' p pro ects wlth a con- PLUMBING � � GRADING I +$ � tractor(5) ticense puYsuanc to lhe CoMractor's L�cense Law); , . .p�,qN CHECK' $ ' ❑ I,am exemp[ unCer Sectlon ' B. & P. C t4r this reason � Firepl/FaCt. Bit. ICBO � � ' . . . : $� � 1 � : � � • ,ELECTfiICAL , $ ' �. D t � — - �� � O - � q - i � Heating System & Ducting - � � � ' � � � $ ' MICROFILM i $ I hereby certify. that Lhave�reatl:this appllwtlon.anU_state tha tlie abova � ❑4100,000 BTU 0100,000BT, —j_... .- ._ _ __ .P�N CHECK' $ � Inlormation is correot. I agree to comDly with all city antl county ortllnances � � ' MECHANICAL � $ ' TOTP.L FEE antl stata laws relat�n9 to builtlin9 constructl n antl here0y autnoriza rapre• Hood or T e I ❑� . ' santa(We i �dt _ to en er upon a�ntioned p{o��� . �P ! � Reipspfction Fee� $76 PLAN CHECK ' $ � LESS • � $! InspecUon our }-� ' Ceno . T e II O•� i qOVANCED PC SlgnStur - Date V • , Drivers' License or 55 � ' Registers � - � ' � ��e Fee S 3 � ' � i ' FINAL �FEE $ � � CMF 0865-46 rev. 12/82 � Whlta - BUIltling; Canary - Appliwnh Pink - Accounting; Goltlenrotl - Aisessor �� " ' "' ' � ' ' - ' ' ' " � � - - � - � - � � CONSTRUCTION AND PL'A NING ; ` � ' ' :,, . . , - � : o- -. .?�OL PA � �- ' '� _ , _ �a r'APP,ROVqCS � PermitqW� ����`� y "•�Date - -Inipector. <__ APPROVAIS Permit;f`- _ '�' Date�• Inspector - , � "�':1�. �Temporary Electrical Servicepr Pole .'"^ I, ; � �' ` " � �'52. Pool &�Equipment Lowtion , - , � ' .� i '��2. ,Soil'Pipe-Undrgrnd; _ i � �. � ' � F : � `. . _ - f53, �Steel�Reinforcement . � � � . .`, '3. �Electrical Conduit Utilitv-Undrgrnd�, , �" - � `' ! _ � �54, �,Forms � ' � � _ , - 'y r4.;Electrica , . . � � m�• � _ _', ` �. . � . . . - . � i I Contluit-Undrgrnd.-> �,� _ � 55: Electrical Bonding � '' .. . � � , . � r .+ � _ �- . . - �5. Sfeel� Reinforcemen't , � � ; , • -, `• i ; --+ f 156. Rough Plumbing,& Pressure Test ' . : ,, j � � i ' '6. �Electrical UFER Gr'nd. , � �: � �'� s- � ' � 57.. �APPROVALTO COVER-GUNITE - _ - ' 7. �Footingg ' � � �- - ' �¢„ , � • - � 58. �Electrical �p�duit-Undramd.. � � - , _ . I i I i i 1 f , c. 8. IFoundation � , � , . . � r' �� � ; '�^ � 59. �Gas Pipe, O Undrgrnd�., Test - ' 9.1Watei Pipe�Undrgmd. �. -. � �-� .` 60. Backwash Cines,--P-Trap, O Undrgmd." • . - 10. ;Structural Floor Sy,stem ; � . ' � L � � i; : ,61. �APPROVAL TO'DECK" - . - " . • 11.4Property Sewer Line & House�Connection . � ' � � � :62.'Backwash_& ReceptorFinal 72.'Sewer Cgp - ' - . � � - - � 63. Heater &" Vent-Final - � � - 13.'Roof Drains � � � � - • � ; . � : 64. Plumbing System - Final " �� � 14. �Rough Plumbingi � ! � � � � - � .65. Electrical-Final � - - � 15:�Rougi7'�lectricaf-Conduit� -� ' ; �����--'-�-' �--�-- -'� T�-' �66�SolaF,System-Final � -� -� ' �- � - > �:'16."Rough �IectricWiiing _ � ' � : � �; , - -� -i � t- " . ' • - - - - _ - � � _ : , 67. Fericing &-Access•ApProval . . _ . : .`17. ,Rough:Wiring Sign^ '� + , ' ��" "-' .- ' � " ' gg: APPROVED FOR PLASTERING - i6. Rougti fitectrical-T� Bar Ceiling F� � - %' � : � �69? POOUSPA SYSTEMS FINAL �! � 1�9..,Rougfi Heating & Air`-Conditioning �i i�_ � � � � � �FIRE DEPT. REQUIREMENT � , � �� 20.^Rough Facto`ry Fireplace � � � � ' �' � ' , AP,PROVALS. , Permit # - '� bt.j�.Ducts; in Structu�ed ,; _i , � i � �' � , � 70: Underground Hydro � � o _.. � � � . . . . . . . ; � 22. Ducts, Veniilatingj r � � � - � � � ! � , '71,' Produc[ Piping OGas ❑Oil - � � 23.�Ges+Pipe=Rough & Testc � � �� �� ' � � i � �7Z.�Underground Flush ' � � � ��24. ;Roof F.raming + �' ' � p.. ��, , `., � �� , .� i . � � _ ; . �73. Undergmd. Storage Tank O Gas ❑ Oil � 25.t;Roof Sheathing . � � � i . - = j �, � s , � � - � • '74. Overhead Hydro • : `,26. T-Bar Ceiling �Structuralh�& Monocoat� ; ' � �r � * ;'� � � � • 75: Dry Chemical ' ' � , _� . ,�27.j�Frame and'Flashing . �� � � ! � ! • , � � � :76i Dry Standpipe � � � ' 28.'�lathing & Siding � � , „ � I � � , � � i �77. FIXED SYSTEM�FINAL. � � .. � L29; lnsulativn�` � v' �' ' �i i; � � � � ' � 78: FIRE PREV. FINAL - ' � ,-,30.�:Drywall Nailing , � � I � � 4 � Notes: . � _ . , � � I'31.�Plaster Brown Coat� � � �� i, �- � --� �� I I -�- - � �-..� - � � - � - �� -- . � 32.��ElectricyPPowerMeter-Final � �i � � � � � j ; ; • • � - - ' � � -� 1 i � i ' � , � . � . �- 33.i�Final Electric i � � �t ' i , ; � ' „' -_ � . . s_ 34. Final �Heating�.&^Aii Conditioning ^ t � � � � _ � 35. Fi�a� Ga's Pipe-Test � � , „' '4 ; � � I o i � � � t j ; � - , . - . � . _ � . . .. .. i � � 36. Hood'Or��CanoPY%"� �o' ° �I �i I. `� � ,'c i , 1 I ' � . � � i ' ' - _ ' . • - i � i. i 37. Final ,Facto',ry Fireplece:� ..•� . I �;, i ` � : I � � � � I � ' '. . � -. � . . I �. 38.�Final Plumbin9i � t � j ; 2j ' � �� ��Ald,� f; C.1E9 � ' ' '� � i� ..i , � � � � � � � � , � . � � . 39. Water�Service-Final ' � - � i ; , I 40. Gas Service-Final . � � � � ' ( � � � � � I � � . . n � I � I i � 41. Solar,Domestio-Final � i ,� � - S -}- -L -f -4-} - 1- !- , _ % � . ' . 42. BackfloW � - " � � � ' ; ' ' . Preventer i � � ; � � � - n �, : ,-� � � i � i ��' - �--'--� - -- - - i t. �. � 1 qnl�,�wr,..�.,. �� � 43. Backflow triigation F'. i � � .� � I,. �, , r "� 44. Landscape Irriqation'System` �'��•' �� I ^ !'' � � �� ; � '' ` , : :�' ' ' ' ' . , �s 45. Sound i�Attenuation' � � � r' 1 � �� � � �' � � I - � >. � ' ' ! :: � ; � : ..� . . ' - - . . � , . 46. Handicap Regulation"s� . ,� � j '� � �+ ; r I ' � , � - � . , ` • ' �' 47.� FINAL STRUCTURE'& BUILDING � �;- � � ���; I; I ' � � � � I• ' - 48. Special Require'ments Completed , ' � � i ; ' � � � ' . . � � , 49. Elec[ric Release toiEdison � � �' �. ,._ �_ t� _�t__`. I _, _ _!, _ _: . � ' ' 50. Gas Release�to Southe��n CaliforniaGasCo � , i � � � � I � � ,' , . 51. CERTIFICATE'OF OCCUPANCY .' ' ; ' ' �„ , � � � � ; . � ! ' . ;i I- - - �-- f -i- � , -� -, � , , No ' ' Date _,. UWNtK ""..".� `..,"i JOB ADDRESS 27 Victoria St. GENERAL CONTRACTOR Owner-Bldr: o. 115- 2-Ol LOT TR I CTIONS Sh SOIL GAS W ATEft ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. � SPRiNKLfNG SYSTEM MISCELLANEOUS ROUGN MEATING AND AIR CONDITIONING TEMPORARV SERVICE OR POLE UNOERGROUN� � POW�R � ROUGH WIRING TRENCHES � FOftMS STEEL REINF. � FLOOR SVSTEM BON� 9EAM � STEEL pEINFORCE SHEATHING FRAME AN� FLASHING LATHING - IN ❑ OUT PL TER, BROWN COFT 5 TURAL, FINAL H ING, VENT., REFRIG. AN� A.C., fINAL PLlIM01NG, FINAL ANO GAS TEST ELECTRIC, FINAL RIIII OING. FINAL � UAIt c c �v 7UPJ TYPE SUBCONTRACTOR .�. .i.'-�. M - 31448 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BVILDING ADDRESS Z OWNER C MAIL Gl _ - i/ ' "i-' • CITV (�n. CONSTRU�ION LENOER BFANCH ADDRE55 ARCHITECT OR ENGINEER ADDRE55 CONTRACTOR AODRESS CITV STATE LIC. NO. SI2E OF LOT '7 VSE OF EXISTING BLDG. 512E OF �C NEW BLDG. EXTERIOR WALL COVERING USE QF LDI CITV UQ NO. NO. OF BLDGS. NOW ON LOT � NO.OF AND WQRK TO BE PERFOFMED � FEB 25-70�,���OO 758 cJ+�°***5.0� FOR BUILDING PERMIT TE RECEIVED D TE ISSUED 1-a �=T � as- � o OWNER � s v FIRE 20NE 7 APPROVED BY 20 E— NO.OF . P�� O VARDSAPPROVED VAR. aW C.U.P. qy+ APPROVED 1 heraby ecknowlatlBa that 1 have read thi: epplicatfon entl rtate thet Me ebova (nformation is correct entl apree to comply wit� all lews ropuleiinp builtlinp constt�cHon, end I shall not employ any person in violotlon of the workman'e compenaeNon lewa oi [ha Stata of Califomie. I �areby cerHty that I am properly licensetl as e contrector under SQ, f tha Stata of Californie Business and Protezsions Cotla, Divisicn 3, THE AMOUNT Chapter 9, antl thet such licanses ere in full (orca entl aftact, or I THE PUR�E ( am exemp[ (rom the provislons ot the Stete of Celitornie Busineu VALUATION antl Professlons Cotle, �ivision 3, Chepter 9. SlBnat�re of /�/�,/, � �,/���/^/��.�, �� � Permlttee J/�"""-"^� � v" — 5 � � Authorized Apent - USE OF NE BUILDIN VARDSAPPROVED FT DATE JN UNDER VALVATION IS FOR � 'ABLISHING �+ PERMR FEE ONLV: Q S m PERMR FEE 5 � � m PLAN CHECK § — E `o TOTAL FEE 5 � LL � OWNER R� JOB ADDRESS �GENERAL C0� .�F 115 IN�YECTIONS � SOIL � GAS �WATER ROUGN PLUMBING PROP. SWR. LINE ROUGH HEATING AN� Alft CONDITIONING TEMPORARV SERVICE OF POLE UNOERGROUNO � POWER � ROUGH WIRING TRENCHES � FORMS � STEEL RE FLOOR SYSTEM BONO BEAM ❑ STEEL ftEINFORCE � SHEATHING FRAME AN� FLASHING LATHING - IN n OUT n P' TER, BROWN COAT 5 ,TURAL, FINAL PLUMBING ELEC7RIC miii niur. IENT., REFRIG. ANO A.C., F FINAL AND GAS TEST ❑ FINFI TRACT 7714 FIRE ZONE DATE z-25-70 BUILDING PERMIT I < Legalize Pa VALUE $ 200.00 SUBCONTRACTOR r -t:,. ' 3134i? COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 I For Applicant to Fill in Completely ADIDRESS (J+�� 71G�C21�I� {�.C',� �✓J� OWNEfl KUC/� �L'�N�/� Z . ADDRESS �27 GIL����� 4-U CITV�Q�, 1��=5/1 NOL��p�y� jZ Q CONSTRUCTION BRANCH ADDRESS ARCHITECT TEL. ADDRESS CONTRACTOR Q� N �� ♦L. � ' ADDRESS S � n'1- � TEL. CITV NO. STATE CITY L14 NO. LIC. NO. SI2E -7 NO.OF BLIX'iS.� OF LOT /2 X�C_% NOW ON LOT USE OF 1 EXISfING BLDG. % NEW BLDG.'Z X ZQ FOOMS � STORIES ' EXTERIOR Wl� L ROOF COVERING WOAI, x D. COVEqING COF• hELT USE OF BUILDING AND WORK TO BE PERFORMED U�lLir� ud I hereby acknowletlpe ihai I have reatl this applica2ion antl state that tha abova intOrmatiOn is co��ect entl ag�ee to comply with all laws regulating builtlin8 construction, end I shall not employ any person in violation ot the workmen's compansation laws of the Stete of Celifornia. I hereby certity that I am properly licensatl as a contractor untler ihe Siate of Calito�nie Business entl Ptofessions Cotle, Divisicn 3, Chapter 9, antl that such licanses ere in full force and aftect, or I am eaempt from the provisions of the Stete of Californle Business antl Professions Code, Division 3, Chapter 9. Sipneiure of� // / /(u'� Petmittae I/1C.!/�V' Authorized Ageni REC BUILDING ADDRESS OWNER FIRE 20NE APPROVED l:d� . __ _. _ .� Ll.I�Ci7iia ' �JiJ �ATION �POR�BUI LDIN�P-ERMIT DATE RECEIVED DATE ISSUED 2-2- fl Z-'L- Q BER - � -O til� . /�J , , lOT iT BLOCK ZONE _ NO.OF PLAN$ VARDS APPqOVED MAIN BUILDING VAR. � C.U.P. # APPROVED THEAMOUNTS THE PURPOSE OF VALUATION $ �000 `�- VALUE /DQD $ �� � f.R()lIP � E j � Z USE OF NEW . �[CC, BUILOIN VAROSAPP OVED ACCESSORV BUILDING v ri. FL �- BEf. MAIN & ACCESS. BLDCaS. DATE APPROVED .,._� � _ 9 _7m � � 0 !N UNDER VALUATION IS FOR � P.BLISHING A PERMIT FEE ONLV: m Q PERMIT FEE $ O r�'D m � m PLAN CHECK $ E `o TOTAL FEE $ �O�OQ LL